Blindness After Filler Injection: Mechanism and Treatment

Facial Plast Surg Clin North Am. 2021 May;29(2):359-367. doi: 10.1016/j.fsc.2021.02.002. Epub 2021 Apr 24.

Abstract

Dermal fillers remain popular for facial rejuvenation but with its increasing use, the potential for more complications including blindness is present. This article focuses on the mechanism of filler-associated blindness, possible treatments, and future directions. Unfortunately, to date there is no proven treatment to reverse filler-induced blindness or visual compromise. It is essential for all injectors to discuss the potential ocular risks including blindness with their patients and obtain informed consent before filler injection.

Keywords: Blindness and filler; Dermal filler complications; Filler blindness; Filler complications; Filler ischemic complications; Filler orbital ischemia; Filler-induced blindness; Hyaluronic acid gel filler.

Publication types

  • Review

MeSH terms

  • Blindness / chemically induced
  • Blindness / therapy
  • Cosmetic Techniques* / adverse effects
  • Dermal Fillers* / adverse effects
  • Humans
  • Hyaluronic Acid / adverse effects
  • Rejuvenation

Substances

  • Dermal Fillers
  • Hyaluronic Acid