Plastic and reconstructive surgery. Global open · 2026
Management of Visual Loss Following Hyaluronic Acid Filler Injections: An Algorithm-based Approach.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Snozzi Philippe, van Loghem Jani A J, Nguyen Ha, Luft Andreas R, Saeed Peerooz
Аннотация
BACKGROUND: Hyaluronic acid (HA) filler injections have been associated with the rare but vision-threatening complication of retinal artery embolism. Clinical management of this condition remains challenging due to the lack of high-level evidence. Randomized controlled trials are neither ethically justifiable nor practically feasible, and current treatment recommendations are derived almost exclusively from individual case reports and small case series.
METHODS: The aim of this article is to offer evidence-informed recommendations for the management of central retinal artery occlusion following HA filler injections. These recommendations are intended for both aesthetic practitioners and in-hospital specialists and are structured as stepwise treatment algorithms, based on published reviews and expert opinions as well as the clinical experience of the authors.
RESULTS: Algorithms are provided and organized into 2 sequential tiers: outpatient management and in-hospital management.
CONCLUSIONS: These guidelines are not intended to be complete or exhaustive but may prove informative for aesthetic physicians and in-hospital specialists who are responsible for treating patients with HA filler-induced central retinal artery occlusion. They should be regarded as a basis for treatment and discussion by clinicians, providing clear guidance under conditions of uncertainty.
METHODS: The aim of this article is to offer evidence-informed recommendations for the management of central retinal artery occlusion following HA filler injections. These recommendations are intended for both aesthetic practitioners and in-hospital specialists and are structured as stepwise treatment algorithms, based on published reviews and expert opinions as well as the clinical experience of the authors.
RESULTS: Algorithms are provided and organized into 2 sequential tiers: outpatient management and in-hospital management.
CONCLUSIONS: These guidelines are not intended to be complete or exhaustive but may prove informative for aesthetic physicians and in-hospital specialists who are responsible for treating patients with HA filler-induced central retinal artery occlusion. They should be regarded as a basis for treatment and discussion by clinicians, providing clear guidance under conditions of uncertainty.