17/10/2025
Ojo con quien se aplica los rellenos, las complicaciones son serias, como ceguera permanente
Vision loss secondary to aesthetic filler treatment is a rare but disastrous complication.
total of 365 new cases of partial or complete vision loss after filler injection were identified. The sites that were highest risk were the nose (40.6%), forehead (27.7%), and glabella (19.0%). The filler injected was hyaluronic acid in 79.6% of cases. The most common associated signs were ptosis (56.2%), ophthalmoplegia (44.1%), pain (31.2%), and skin changes (73.2%). Strokelike features were seen in 19.2% of cases.
Figure 1.Vascular anatomy of the face. A selection of facial vessels are highlighted here. This is one depiction of the blood vessels of the face; there is individual anatomic variability. Inset demonstrates the mechanism of filler-induced blindness. In this diagram, filler is shown being injected directly into the supratrochlear artery or into the angular artery, which anastomoses with the supratrochlear artery. From here filler can travel retrograde, as shown by the arrows, into the ophthalmic artery and its branches, blocking blood supply to the retina and causing visual complications.
