Corneal burn injury in picosecond laser treatment: A potential hazard in cosmetic therapy

IF 1.2 4区 医学 Q3 DERMATOLOGY
Li-Yi Chiu, Ya-Wei Lai, S. Hsu, Pei-Ling Chih, Po-Yen Lee
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Abstract

ABSTRACT To describe a case of picosecond laser-related corneal burn injury. Case presentation of a patient underwent picosecond laser cosmetic treatment, complicated with severe corneal burn injury. We evaluate patient’s visual acuity, corneal edema condition under slit lamp and corneal OCT (Optical coherence tomography), corneal shape with topography, and intraocular pressure. Picosecond laser emits optical pulses with duration between one to tens of picoseconds. The original purpose was to remove tattoos, but has now extended to a wide range of skin diseases and even cosmetic use. When applying cutaneous laser therapy, several ocular adverse events have been reported, mostly due to no appropriate ocular protection during treatment. We report a case of corneal burn injury after receiving picolaser therapy for a pigmented lesion over the upper lid. Severe cornea edema and vision impairment improved gradually after appropriate treatment. Even picosecond laser produce less thermal burns then other lasers, it is essential to use ocular protection during the entire treatment. According to our database search, this is the first picolaser-related ocular adverse event reported. Key Points Without appropriate protection, cosmetic laser treatments can cause severe ocular side effects and permanent visual impairment. We present this case to emphasize the importance of ocular protection during the entire treatment period, especially treatments of lesions over the eyelids. According to our knowledge and database search, this is the first reported ocular injury caused by picolaser.
皮秒激光治疗角膜烧伤:美容治疗中的潜在危害
摘要:报告1例皮秒激光角膜烧伤。一例皮秒激光美容治疗并发严重角膜烧伤的病例报告。我们评估了患者的视力,裂隙灯和角膜OCT(光学相干断层扫描)下角膜水肿情况,角膜形状与地形图和眼压。皮秒激光器发射的光脉冲持续时间在一到几十皮秒之间。最初的目的是去除纹身,但现在已经扩展到广泛的皮肤病,甚至化妆品用途。当应用皮肤激光治疗时,一些眼部不良事件已被报道,主要是由于治疗期间没有适当的眼部保护。我们报告一例角膜烧伤后接受皮激光治疗色素病变在上眼睑。重度角膜水肿及视力损害经适当治疗后逐渐改善。即使皮秒激光比其他激光产生更少的热烧伤,在整个治疗过程中使用眼部保护是必不可少的。根据我们的数据库搜索,这是第一例与皮激光相关的眼部不良事件报道。如果没有适当的保护,激光美容治疗可能会导致严重的眼部副作用和永久性视力损害。我们提出这个病例,以强调在整个治疗期间眼部保护的重要性,特别是眼睑病变的治疗。根据我们的知识和数据库检索,这是首次报道由激光引起的眼部损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: A unique journal that focuses on the application of cosmetic laser and light therapies on the skin. The Journal of Cosmetic & Laser Therapy provides a forum for stimulating and up-to-date studies demonstrating the wide range of therapeutic options for clinicians and surgeons involved in cosmetic and dermatological treatment. The journal is aimed at dermatologists, cosmetic surgeons, plastic and facial plastic surgeons, oculoplastic surgeons and all those interested in the rapidly expanding field of cosmetic and laser therapy. Features include: -Cosmetic surgery, including facial rejuvenation, hair removal and skin resurfacing -Use of lasers and other light sources for cosmetic and dermatological treatment -Applications of peeling agents, fillers, injectables, implants and other cosmetic modalities -Topical treatments -Practical tips and safety issues
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