Resumo

Objectives: Fortunately, blindness when performing fillers is an uncommon complication, however it is the most terrifying adverse event we can think of and has been underreported with devastating outcomes. With the worldwide increase in daily procedures everyone should be mindful of this complication so that they may be better prepared in the instance it occurs. Introduction: Blindness its associated with poor mental health, decreased quality of life and possible institutional care. Base on a blindness case I explain what we can learn from it. If you find yourself confronted with the adverse complication of blindness this will help prepare you for proper diagnosis and management, as well as treatment protocol and possible prevention measures. Materials / method: A procedure done in the forehead (cannulation of the superficial branch of the suprorbital artery) that end up with a patient blanching in the ophthalmic angiosome (supraorbital, supratroclera and frontonasal segment) on the right of the patient, and after a few seconds the patient presented intense headache, bilateral ptosis and nausea. The patient end up Hospitalized with ptosis, ophtalmoparesis and bulk vision, that also developed frontal alopecia and skin involvement after. Results: Partially (25/20) recover vision after filler procedure. What was done correctly, how we can learn from it and what to do if face with this scenario. Conclusion: As physicians and injector we should know how to be prepare for this complication from any part of the face, even if we know most of this complication comes from the ophthalmic angiosome. From a review from different treatments options, what we can do from the bedside in our office to try to get the best result possible for our patient.