Ipsilateral ophthalmic and cerebral infarctions after cosmetic polylactic acid injection into the forehead

Ashwinee Ragam, Steven A. Agemy, Sarita B. Dave, Azita S. Khorsandi, Rudrani Banik

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations

Abstract

A 55-year-old woman developed no light perception vision in her right eye 5 days after an injection of polylactic acid cosmetic filler into her right forehead. Diffuse corneal edema and anterior chamber inflammation prohibited any view to the posterior segment to identify the cause of her profound vision loss. MRI of the orbits with diffusion-weighted imaging showed hyperintensity of the right optic nerve with signal reduction on apparent diffusion coefficient mapping, consistent with ischemia. Our patient also was found to have acute infarctions in the distribution of the right anterior cerebral artery on MRI of the brain despite having no permanent focal neurologic deficits aside from vision loss.

Original languageEnglish
Pages (from-to)77-80
Number of pages4
JournalJournal of Neuro-Ophthalmology
Volume37
Issue number1
DOIs
StatePublished - 2017
Externally publishedYes

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