ESCRS - PO286 - OPHTHALMIC COMPLICATIONS OF PERIORBITAL AND FACIAL AESTHETIC PROCEDURES: A LITERATURE REVIEW

OPHTHALMIC COMPLICATIONS OF PERIORBITAL AND FACIAL AESTHETIC PROCEDURES: A LITERATURE REVIEW

Published 2025 - 29th ESCRS Winter Meeting

Reference: PO286 | Type: Presented Poster & Poster | DOI: 10.82333/cc1b-ax89

Authors: Shahad Almasoudi* 1 , Mohammed Bin Dlaim 1

1Ophthalmology,King Abdullah bin Abdulaziz University Hospital (KAAUH),Riyadh,Saudi Arabia

Purpose

  • This review aims to:

-Identify common ophthalmic complications in periorbital and facial aesthetic procedures.

-Develop clinical approaches for prophylaxis and management.

-Raise awareness among non-ophthalmologists.

Setting

A scoping review conducted according to PRISMA guidelines, utilizing databases such as PubMed, Scopus, Web of Science, and Google Scholar.

Methods

This scoping review adhered to the PRISMA guidelines, systematically searching PubMed, Scopus, Web of Science, and Google Scholar for relevant articles. Keywords included “facial laser,” “facial fillers,” “hyaluronic acid,” “botulinum toxin,” “rhinoplasty,” “blepharoplasty blindness,” and “ocular ischemic syndrome.” Inclusion criteria focused on studies detailing ophthalmic complications from facial cosmetic procedures published between 1989 and 2021. Of the 37 included articles, 21 were case reports. Data on types of complications, anatomical sites involved, and management outcomes were collected and analyzed.

Results

  • Vision loss is the most common complication from non-ophthalmic procedures, with additional risks including ocular pain, flashes of light, ptosis, and ophthalmoplegia.

 

  • Hyaluronic acid injections, especially in areas like the glabella, nose, and supraorbital folds, can lead to decreased visual acuity, unilateral vision loss, and varying degrees of ptosis.

 

  • Blepharoplasty frequently results in dry eye syndrome and diplopia, primarily due to eyelid ptosis, highlighting the need for thorough preoperative evaluation.

 

  • Rhinoplasty complications occur in 5% to 18% of cases, with risks including various visual disturbances, emphasizing the importance of careful surgical techniques.
  • Facial laser treatments carry a high risk of injuries to the eyelid, cornea, lens, and retina, underscoring the necessity for protective measures such as goggles and an understanding of ocular anatomy.

Conclusion

  • Rising incidence of ophthalmic complications emphasizes the need for increased awareness and early intervention.
  • Prompt recognition and treatment are essential for effectively managing and mitigating complications.