ABSTRACT
Dermal fillers have been used with increasing frequency over the past three decades in the management of facial lines and atrophic scars and in the correction of facial contours. Injectable soft tissue fillers are ideal for office procedures because of their associated ease, cost, and minimal discomfort. Although complications are rare, they can occur with any dermal filler. However, although most complications are mild and transient, severe, persistent, or recurrent adverse effects can occur. Serious complications include complete or partial visual loss caused by occlusion of a retinal artery. We report a case of a 65-year-old female who experienced sudden visual loss and local necrosis of the glabellar area, secondary to retinal branch artery occlusion, following injection of a filler. Prompt consultation with an ophthalmologist is recommended when there is evidence of visual problem arising after facial injection with dermal fillers.