RESUMO
A 66-year-old female presented for evaluation of progressively worsening edema and palpable masses in both lower eyelids. While she denied prior filler to the lower eyelid or tear trough, histopathology revealed degenerating striated muscle surrounding pools of hyaluronic acid. While cases of gradually enlarging masses associated with facial filler placement have been reported, there is no literature identifying muscle degeneration adjacent to hyaluronic acid filler.
Assuntos
Técnicas Cosméticas/efeitos adversos , Doenças Palpebrais/induzido quimicamente , Pálpebras/patologia , Ácido Hialurônico/efeitos adversos , Músculos Oculomotores/patologia , Idoso , Biópsia , Doenças Palpebrais/diagnóstico , Pálpebras/efeitos dos fármacos , Feminino , Seguimentos , Humanos , Ácido Hialurônico/administração & dosagem , Injeções Subcutâneas , Músculos Oculomotores/efeitos dos fármacos , Fatores de Tempo , Tomografia Computadorizada por Raios X , Viscossuplementos/administração & dosagem , Viscossuplementos/efeitos adversosRESUMO
We report the case of a 2-month-old boy with unilateral pharmacologic mydriasis from inadvertent exposure to glycopyrronium after parental use of glycopyrronium wipes. Clinician familiarity with the potential effects of glycopyrronium exposure may aid in the recognition, diagnosis, and prevention of pharmacologic mydriasis as well as the reduction of costly and unnecessary evaluations.