Iritis and pupillary distortion after periorbital cosmetic alexandrite laser

Abstract

Alexandrite laser treatment of the upper eyelid region may penetrate the eyelid, causing anterior uveitis and irreversible damage to the iris. We recommended appropriate eye protection during this therapeutic procedure.

Two Cases of Anterior Uveitis After Laser Eyebrow Epilation

“…The penetration depth of these laser systems is approximately 3 to 4 mm. 2,8 When used for superficial eyebrow hair, these lasers penetrate through thin skin of the eyelid, which presents a risk and can result in damage to the pigmented eye structures. 10 Safety glasses must be used during the operation, but in most cases, it is difficult to obtain the proper orbital structure and correct size of glasses.…”

“…10 Safety glasses must be used during the operation, but in most cases, it is difficult to obtain the proper orbital structure and correct size of glasses. 2,8 Also, a corneal shield can be used to protect the eyes. In addition, the normal Bell phenomenon causes the pigmented iris to reach the laser penetration range and can lead to damage of the iris pigment.…”

“…3,10 However, previous case reports revealed the appearance of a normal fundus in cases with anterior segment side effects associated with laser removal of eyebrow hair. [2][3][4][5][6][7][8][9][10] This research is important because ocular damage can clearly occur with laser removal of eyebrow hair. Because of the risk of developing these eye complications, even when patients use protective eyewear, laser removal of eyebrow hair may be dangerous and should only be undertaken with great caution.…”

“…As a result, a variety of clinical presentations, such as iris atrophy, anterior uveitis, posterior synechia, and cataract, can occur with laser removal of eyebrow hair. [2][3][4][5][6][7][8][9][10] The retina contains the highest concentration of melanin in the body and can be damaged by lasers that are used in orbital bone structures. 3,10 However, previous case reports revealed the appearance of a normal fundus in cases with anterior segment side effects associated with laser removal of eyebrow hair.…”

“…1 In the literature, there are only a small number of reports of ocular complications after laser epilation of eyebrow hair. [2][3][4][5][6][7][8][9][10] This report describes 2 cases with anterior uveitis after undergoing laser eyebrow epilation. Both patients had Fitzpatrick skin type 3, and they had undergone laser epilation above and between areas of eyebrows.…”