ArticleAesthetic surgery journal2020
A Consensus on Minimizing the Risk of Hyaluronic Acid Embolic Visual Loss and Suggestions for Immediate Bedside Management.
Article in Aesthetic surgery journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Consensus Guidelines for the Management of Tissue Filler-Induced Vision Loss in the United Kingdom.Aesthetic surgery journal · 2026Guideline
- Advances of Hyaluronic Acid Nasal Injection Techniques and Complications: A Systematic Review.Aesthetic plastic surgery · 2025Pooled it
- Administration Method and Potential Efficacy of Hyaluronidase for Hyaluronic Acid Filler-Related Vision Loss: A Systematic Review.Aesthetic plastic surgery · 2024Pooled it
- Review
- Hyaluronic Acid Dermal Filler-Associated Vascular Occlusion-A Review of Prevention and Management Strategies.Journal of cosmetic dermatology · 2026Review
- Management of Visual Loss Following Hyaluronic Acid Filler Injections: An Algorithm-based Approach.Plastic and reconstructive surgery. Global open · 2026Article
- Anatomical Insight into the Zygomatico-orbital Artery Using 3-Dimensional Computed Tomography Angiography: Providing a Safe Area in the Temporal Region.Aesthetic surgery journal · 2025Article
- Response to: Hyaluronidase Availability Beyond the Aesthetic Office: A Shared Responsibility for Safety in Filler Complications.Aesthetic surgery journal · 2025Article
- The Assessment, Strategy, and Treatment Protocol: Nasolabial Fold Assessment, Strategy, and Treatment With Hyaluronic Acid Fillers in Chinese Patients.Plastic and reconstructive surgery. Global open · 2025Article
- Prevention and Management of Complications With a Hyaluronic Acid-Calcium Hydroxyapatite Hybrid Injectable.Clinical, cosmetic and investigational dermatology · 2025Review
- Ultrasonography in the management of lip complications caused by hyaluronic acid.Imaging science in dentistry · 2024Article
- ViSCNOVAS: A Novel Classification System for Hyaluronic Acid-Based Gels in Orthobiologic Products and Regenerative Medicine.Gels (Basel, Switzerland) · 2024Article
- The Use of Hyaluronidase in Aesthetic Practice: A Comparative Study of Practitioner Usage in Elective and Emergency Situations.Aesthetic surgery journal · 2024Article
- Article
- Retrospective Study of Vascular Complications Caused by Hyaluronic Acid Injection.Aesthetic plastic surgery · 2023Article
- An illustrated anatomical approach to reducing vascular risk during facial soft tissue filler administration - a review.JPRAS open · 2023Review
- Evaluation of Supratrochlear, Supraorbital and Angular Artery Course Variations and Depth by Doppler Ultrasound.Aesthetic plastic surgery · 2023Article
- Sudden vision loss and neurological deficits after facial hyaluronic acid filler injection.Neurological research and practice · 2022Article
- The Changes in Optic Nerve after Orbital Decompression Surgery for Thyroid Eye Disease and Case Reports of Ischemic Optic Neuropathy.BioMed research international · 2022Article
- Aspiration Before Tissue Filler-An Exercise in Futility and Unsafe Practice.Aesthetic surgery journal · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHyaluronic acid fillers have a satisfactory safety profile. However, adverse reactions do occur, and rarely intravascular injection may lead to blindness. Currently there is no internationally recognized consensus on the prevention or management of blindness from hyaluronic acid filler.
objectivesThe authors sought to give guidance on how to minimize the risk and optimize the management of this rare but catastrophic adverse reaction.
methodsA multinational group of experts in cosmetic injectables from multiple disciplines convened to review current best practice and develop updated consensus recommendations for prevention and bedside intervention if visual loss occurs after cosmetic injection of hyaluronic acid filler.
resultsThe consensus group provided specific recommendations focusing on the consenting process, prevention, and early management of visual impairment related to intravascular hyaluronic acid filler injection.
conclusionsAlthough visual loss due to filler injections is rare, it is important that both patient and physician be aware of this risk. In this paper the authors describe methods and techniques available to reduce the risk and also document suggested initial management should a clinician find themselves in this situation. LEVEL OF EVIDENCE: 5:
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.