Author: Mike Clague Aesthetic Nurse BSC
Date Posted:6 November 2018
The question of how to best avoid and treat blindness from a dermal filler injection remains controversial.
This paper was a review of current published cases of blindness in 2015. The autors discussed the cases and some ways to avoid and treat this catastrophic complication.
BELEZANY et al - October 2015
Derm Surg, 41:10:OCTOBER 2015
The authors reviewed published cases of blindness from dermal filler injection. They looked at the location of the injection when blindness occurred. They also discussed prevention and management of blindness after a dermal filler.
METHODS AND MATERIALS -
They performed a literature review of all published cases of blindness from filler injection. Including all types of fillers.
The most common sites for blindness were injection in the glabella (38.8%, n = 38), nasal region (25.5%, n = 25), nasolabial fold (NLF) (13.3%, n = 13), and forehead (12.2%, n = 12) (Figure 1).
The majority of the cases of blindness were from fat injection 47.9%, followed by HA dermal filler 23% then other fillers after that.
Though blindness is a catastrophic event from filler treatment, the risk is still very low. At the time of publication (2015), 98 cases of blindness from filler had been reported. In 2014 alone there were over 5 million dermal filler treatments performed.
Prevention of blindness from dermal fillers - the authors recommend -
The authors recommend strategies to treat blindess with a HA filler such as a retrobulbar injection of hyaluronidase approx 300 - 600 units in 2-4ml.
We recommend you READ this article from Derm Surg and read it in full. The link is below.
If you are in Australia you should attend our 'Safety with Dermal Fillers Workshop' in 3 hours we cover all the latest published data on blindness and dermal fillers.
You should keep current and read your clinical publications. Revise important anatomy. Know your limitations.
We teach in our classes (ASSOC PROF GOODMAN) -
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