Blurred vision in one eye after Juvederm Voluma injected to upper malar area

Question

Yesterday, I had Juvederm Voluma injected into both upper cheek areas to smooth out a dent in the malar region. .6ml was injected into my left cheek; .4ml was inject into my right cheek. This morning when I woke up, the vision in my left eye was somewhat blurred. I have allergies, so I thought it might be that. However, my antihistamine eyedrops have not resolved the blurriness. My dermatologist's office does not open for another several hours (I am in Asia)... what might be happening?

Jonathan Kaplan, MD, MPH · Answer

Fillers have a risk of embolization. What this means is that the thick gel of a filler - any brand of filler; this isn't specific to Voluma - can accidentally be injected into a blood vessel and clot off blood flow to the area that is fed by that blood vessel. The problem with blurry vision is it could suggest filler injection into a blood vessel leading to the eye and cause permanent damage and possible blindness. This is so unusual and I hope that this is not the case. You posted this 3 days ago so hopefully all is resolved and you are doing fine.

Samir Shureih, MD · Answer

If you are having blurred vision after fillers to the face, you need to be seen immediately by an ophthalmologist and your doctor.

Kevin L. Smith, MD, FACS (retired) · Answer

I hope that your blurred vision symptoms have resolved. If symptoms such 
as eye pain, blurry vision, blindness, etc. occur after the injection of
 any fillers around the orbit I believe this requires emergency 
attention by a physician and often immediate reversal of the injected 
product by enzyme. This may represent inadvertent intravascular injection of the product.The injection of fillers in this area is VERY 
technical. All of the blood vessels in the area are connected and filler
 can be inadvertently injected into a blood vessel and can cause 
irreversible damage. The filler can also put pressure on blood vessels and nerves that can cause pain or visual disturbance as well. Many of us prefer to use a blunt cannula to inject 
as we feel it is a little safer (and bruises less) in the area around the eye. It is very rare 
to have allergic symptoms following hyaluronic acid filler injections. I
 would wait until all this is straightened out before receiving another 
injection and I would make sure that your physician is board certified 
in a proper core specialty (Plastic Surgery, Ophthalmology, Facial 
Plastic Surgery, Dermatology). Although filler injections appear to be 
easy and straightforward, you want your injector to be well enough 
trained to be able to recognize AND TREAT any complication that may 
occur. Best wishes.

Theodore Diktaban, MD, FACS (retired) · Answer

The injection of Voluma might be the cause for your symptoms.  Fillers can put pressure on blood vessels or be injected into vessels that provide circulation to the eye area.  Voluma is a hyaluronic acid filler that can be reversed instantaneously with a hyaluronidase enzyme.  It should be injected sooner than later if your blurred vision is related to the filler.  You should definitely be seen by an ophthalmologist to rule out another possible cause for your blurred vision.  Please be seen by a qualified physician as soon as possible.

Beverly Johnson, MD (retired) · Answer

This is NOT going to be related to allergies. Go to the emergency and be seen as soon as you can by the eye physician. It is possible that the product migrated to the orbital blood supply.The delay in releasing the product in the US market was due to higher (more stringent) regulations here. Companies have to protect the public from side effects due to not knowing how to use the products safely

Blurred vision in one eye after Juvederm Voluma injected to upper malar area

Answers (5)

Answer: Blurred vision and Voluma

Answer: Blurred vision and Voluma

Answer: Vision and injectables

Answer: Vision and injectables

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Blurred vision in one eye after Juvederm Voluma injected to upper malar area

Answers (5)

Answer: Blurred vision and Voluma

Answer: Blurred vision and Voluma

Answer: Vision and injectables

Answer: Vision and injectables

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Recommended reading

Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.