ac 35-year-old woman who developed sudden monocular vision (BCVA) in her left eye was 30 cm ahead of hand motion. Chou et al. BMC Surgery (2015) 15:21 DOI 10.1186/s12893-015-0007-3normal in both eyes. Fundus examination revealed optic disc edema and some linear whitish opacities over the Taichung, Taiwan Full list of author information is available at the end of the articleloss after CaHA injection into the nasal tip and dorsum. Case presentation A healthy, 35-year-old woman without any history of ocular and systemic disease received CaHA filler injections Skin necrosis developed over the nasal dorsum, glabellar region, and left forehead (Figure 1a). Left exotropia was noted in primary gaze. Limitations in adduction, supraduc-tion, and infraduction of the left eye were also observed (Figure 1b). Slit lamp examination of the left eye revealed a pink conjunctiva, a clear cornea, a mild anterior chamber reaction, a sluggish pupillary light reflex, and a semi-dilated pupil. A positive relative afferent pupillary defect was observed in the left eye. The intraocular pressure wa
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