Dermatologic surgery emergencies

Minkis, Kira; Whittington, Adam; Alam, Murad

doi:10.1016/j.jaad.2015.11.054

Cited by 12 publications

(9 citation statements)

References 87 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 7 CT findings concerning for OCS include tenting of the posterior sclera – otherwise known as “guitar pick” sign – caused by intraocular mass ( Images 1 and 2 ). 8 Although CT findings of retro-orbital hematoma should raise suspicion for OCS, serial evaluations are essential for detecting OCS in evolution.…”

Section: Discussionmentioning

confidence: 99%

Orbital Compartment Syndrome Following Mechanical Fall

Schwitkis

Pollack

Torbati

2018

CPC-EM

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Orbital Compartment Syndrome Following Mechanical Fall

Schwitkis

Pollack

Torbati

2018

CPC-EM

View full text Add to dashboard Cite

“…Alternatively, cardiogenic toxic effects and arrhythmias secondary to brimonidine toxic effects manifesting as faintness, loss of consciousness, or apnea should be considered . This is unlikely; however, considering the negative cardiac workup, although transient bradycardia cannot be ruled out.…”

Section: Discussionmentioning

confidence: 99%

Association of Central Nervous System Depression With Topical Brimonidine When Used for Hemostasis

et al. 2017

View full text Add to dashboard Cite

rimonidine, a selective α-2 adrenergic receptor (AR) agonist, causes direct vasoconstriction of cutaneous vessels and has been approved for the treatment of persistent facial erythema of rosacea. 1 The use of topical adrenergic agonists as hemostatic agents has been well utilized by nasosinal surgery 2 and ophthalmology. 3 Two of us (R.S. and E.W.) 4 previously reported the use of topical brimonidine, 0.33%, gel in controlling mild postoperative bleeding after Mohs micrographic surgery (MMS). Herein, we report 2 cases of altered mental status likely secondary to central nervous system (CNS) depression after the use of topical brimonidine, 0.33%, gel for hemostasis.

show abstract

“…8 The wavelength of the laser will affect the depth of penetration and chromophore affected dictating the potential injury pattern. 9 The retina is particularly susceptible to damage from devices with wavelengths from 400 to 1,400 nm known as the retinal hazard region. 10 Photons within this wavelength range can be focused onto the retina by the lens.…”

Section: Mechanisms Of Laser Injury To the Eyementioning

confidence: 99%

“…A dilated pupil allows more energy to enter through to the retina. 9 When the eyelids are closed, the eye rolls upward because of the Bell phenomenon changing the position of the iris and the consequent angle of potential injury. 9 Wavelengths in the ultraviolet (290-400 nm) and in the far-infrared (1,400-10,600 nm) spectrum are typically absorbed by and cause damage to the cornea or lens.…”

Section: Mechanisms Of Laser Injury To the Eyementioning

confidence: 99%

“…8 The cornea has a high nerve density, and injury is characterized by severe pain at the site of laser exposure. 9,12 Anterior uveitis occurs from damage to the uveal tract, presenting with pain, photophobia, blurred vision, and a constricted or distorted pupil. 8 Damage to the lens can result in cataract formation and subsequent decrease in visual acuity.…”

Section: Clinical Features Of Eye Injurymentioning

confidence: 99%

See 1 more Smart Citation

Review of Eye Injuries Associated With Dermatologic Laser Treatment

2022

View full text Add to dashboard Cite

BACKGROUND The eye is susceptible to damage during dermatologic laser treatments. OBJECTIVE Discuss the anatomy of the eye related to these procedures, the principles of laser–eye interactions, and ocular injuries reported with dermatologic laser treatments. METHODS PubMed and Embase searches were conducted to identify cases of eye injuries associated with dermatologic laser treatments. RESULTS One hundred nineteen cases of eye injury associated with dermatologic laser treatments were identified. Fifty-nine cases targeted the eyelid during resurfacing and caused ectropion, while 60 cases resulted from direct injury of ocular structures. In most of the cases of the latter, improper eye protection was used (44 of 60, 73%). In nearly all these cases, it was the patient who sustained a potentially avoidable ocular injury (52 of 60, 87%). Thirty-one patients had persistent ocular symptoms at follow-up (52%). The most common procedure in this context was laser hair removal of the face (35 of 60, 58%). Most of the cases developed injuries specific for the particular laser based on its wavelength and affinity to target certain ocular chromophores (59 of 60, 98%). CONCLUSION Most of the dermatologic laser–associated eye injury cases have occurred in the context of laser resurfacing or laser hair removal and are potentially preventable.

show abstract

Dermatologic surgery emergencies

Cited by 12 publications

References 87 publications

Orbital Compartment Syndrome Following Mechanical Fall

Orbital Compartment Syndrome Following Mechanical Fall

Association of Central Nervous System Depression With Topical Brimonidine When Used for Hemostasis

Review of Eye Injuries Associated With Dermatologic Laser Treatment

Contact Info

Product

Resources

About