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Won Lee, Comments on “Update on Avoiding and Treating Blindness From Fillers: A Recent Review of the World Literature”, Aesthetic Surgery Journal, Volume 40, Issue 5, May 2020, Pages NP320–NP321, https://doi.org/10.1093/asj/sjz192
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After reading the article entitled, “Avoiding and Treating Blindness From Fillers: A Review of the World Literature,” by Beleznay et al1 published in Dermatologic Surgery, I researched additional cases of blindness, especially those resulting from the use of hyaluronic acid fillers. “Update on Avoiding and Treating Blindness From Fillers: A Recent Review of the World Literature” by Beleznay et al2 presents an overview of various cases of blindness and corresponding information on this complication. These 2 articles undoubtedly provide extensive insight into the injection of soft tissue fillers.
Beleznay et al2 reported 48 newly identified cases of visual compromise caused by cosmetic fillers. In this letter, I have presented my opinions about the discrepancies in the data presented in the recently published article by Beleznay et al.2 The data of a few patients seem redundant based on 2 publications, “The Classification and Prognosis of Periocular Complications Related to Blindness following Cosmetic Filler Injection” by Myung et al3 and “Iatrogenic Occlusion of the Ophthalmic Artery After Cosmetic Facial Filler Injections: A National Survey by the Korean Retina Society” by Park et al.4 These 2 reports were written by researchers working in different departments of the same general hospital: the former by a clinician in the plastic surgery department and the latter by a clinician in the ophthalmology department. The publication by Myung et al3 focuses on the clinical appearance and categorization of 9 patients with blindness. However, the report lacks detailed patient descriptions. Prior to the publication of this commentary, patient demographic data were requested from the newly published authors to confirm if data overlap was present. Because blindness by iatrogenic filler injection is not a common complication, there is a possibility of overlap between the cases from these 2 studies; therefore, I obtained the 9 patients’ demographic data from the authors from the plastic surgery department. I found that 3 cases from the newly published study of Myung et al3 overlapped with those described in the report of Park et al4 based on patient demographic data.
