Ocular Injury After Laser Hair Reduction Treatment to the Eyebrow

Parver, David L.; Dreher, Robert J.; Kohanim, Sahar; Zimmerman, Paul L.; Garrett, Geoffrey; Devisetty, Laxmi; Pasquale, Louis R.

doi:10.1001/archophthalmol.2012.1988

Cited by 33 publications

(33 citation statements)

References 8 publications

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“…Up to the present time, the laser procedures in the vicinity of the periocular zone have been reported to be related to the risk of ocular injuries involving the sore eye, blurred vision, photophobia, damage to iris, conjunctival injection, endothelial keratic precipitates, and cells in the anterior chamber. [10][11][12][13][14][15][16][17][18] Compared the above data from CVL treatment of periorbital BCC with the rate of ocular injuries due to the facial laser procedure with other lasers, CVL treatment seems to be safer, as the use of another laser in facial cosmetic treatment is reported to be associated with ocular injury rate of 33%, χ 2 =3.515, P<0.06 19 .…”

Section: Discussionmentioning

confidence: 99%

“…9 Whereas some laser systems use the radiation that is not mostly absorbed by neither melanin nor oxyhemoglobin, laser light can reach the reticular layer of the dermis or even deeper to cause such ocular injuries as pain above and behind the eye, blurred vision, and photophobia. 10 Thus it seems important to adopt new modes of laser surgical treatment management of BCC located near an eye.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Basal Cell Cancer With a Pulsed Copper Vapor Laser: A Case Series

Ponomarev

Topchiy

et al. 2019

J Lasers Med Sci

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Introduction: Basal cell carcinoma (BCC) is the most prevalent form of non-melanoma skin cancer commonly arising in elderly patients. Currently, many laser systems are applied for the treatment of BCC. However, up to the present, there have been several reports concerning ocular side effects due to the laser procedure in the borders of the periorbital area. This determines the feasibility of testing new laser surgical modes for the management of periorbital BCC. This stuay aimed to estimate both the efficacy, the early post-radiated side effects and long-term outcomes of the CVL treatment of periorbital BCC. Patients and Methods: Two men and 6 women aged 50 to 77 years were diagnosed with periorbital BCC according to the data of both the clinical evaluation and histological examination of the tissue samples taken from the involved area. Six months after the laser treatment, the histological examination of skin samples from the borderline of the irradiated area was made again. All patients were followed for 24 months after the laser treatment of BCC. The laser treatment was administered during one session of copper vapor laser (CVL) (Yakhroma-Med model). The treatment included CVL radiation with a wavelength of 511 nm and 578 nm, in the ratio of 3:2. The power level was set up to 3 W, and the exposure time was equal from 200 to 600 ms. The pulse duration accounted for 15 ns. The diameter of the light spot on the skin surface amounted to 1 mm. Results: Dual-wavelengths CVL treatment of periorbital BCC provided a complete elimination of malignant cells and dysplastic vessels during one procedure. The duration of skin healing amounted to 2-4 weeks. There were neither ocular injuries or pronounced skin side effects nor relapses within 24 months after the laser procedure. Conclusion: CVL treatment of periorbital BCC provides relevant cosmetic results without ocular injuries and relapses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of Basal Cell Cancer With a Pulsed Copper Vapor Laser: A Case Series

Ponomarev

Topchiy

et al. 2019

J Lasers Med Sci

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“…Ocular complications such as anisocoria, uveitis, pupillary distortion, posterior synechiae, iris atrophy, nuclear cataract, visual field defect, macular hole, and retinal scarring have been reported with Diode laser (800 nm), Alexandrite laser (755 nm), and Intense Pulsed Light (IPL) (500-1200 nm), mostly related to lack of eye protection [18][19][20][21]. Although PDL has a lower tissue penetration (wavelength of 595 nm), permanent visual impairment has also been reported [22].…”

Section: Discussionmentioning

confidence: 99%

Treatment of lupus erythematosus of the eyelids with pulsed dye laser

et al. 2016

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“…All hair removal laser systems have the potential to cause ocular injuries. Few previous reports of laser‐assisted hair removal concluded that the most preventable risk factor predisposing to ocular injury was poor adherence to optical safety guidelines …”

Section: Introductionmentioning

confidence: 99%

“…Few previous reports of laser-assisted hair removal concluded that the most preventable risk factor predisposing to ocular injury was poor adherence to optical safety guidelines. [8][9][10][11][12] This study assesses the adherence of dermatologists and nurses to optical safety guidelines, and identifies other factors that may make the eye more vulnerable to injury while administering the laser treatment.…”

mentioning

confidence: 99%

Adherence to optical safety guidelines for laser‐assisted hair removal

AlTaleb

Alsharif

Younis

et al. 2019

Photoderm Photoimm Photomed

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Background In recent years, there was a rise in ocular injuries secondary to cosmetic laser‐assisted hair removal. Purpose To assess the level of adherence to optical safety guidelines during laser‐assisted hair removal performed by nurses or physicians in private practice. Methods A cross‐sectional study was conducted at thirty‐one private laser‐assisted hair removal clinics. An electronic random number generator using a cluster random sampling technique was used to select the clinics. The Alexlazr™ (Candela Corp.) device operator's manual checklist was modified to collect data from laser device operators and patients by surveying the laser rooms, interviewing the patients, and observing the treatments. Results Ninety‐four patients treated by different service providers were included from 31 private centers. All treatment sessions were delivered by trained nurses. Only 9.5% had acceptable adherence to optical safety guidelines during hair removal treatment, while the majority (90.5%) of service providers were poorly adherent. None of the providers achieved excellent adherence to optical safety guidelines. The item with the least adherence was the lack of non‐reflective floors inside laser rooms in 72.3% of centers. All service providers were familiar with the laser system controls and emergency shutdown (100% adherence). Conclusion There is a significant deficiency in the safety precautions at laser‐assisted hair removal centers that can result in devastating ophthalmic injuries. Companies providing laser‐assisted hair removal machines should be involved in aiding these centers to implement safety procedures.

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Ocular Injury After Laser Hair Reduction Treatment to the Eyebrow

Abstract: 1. Kindler P. Morning glory syndrome: unusual congenital optic disk anomaly. Am J Ophthalmol. 1970;69( Peripapillary staphyloma with associated retinopathy of prematurity.

Cited by 33 publications

References 8 publications

Treatment of Basal Cell Cancer With a Pulsed Copper Vapor Laser: A Case Series

Treatment of Basal Cell Cancer With a Pulsed Copper Vapor Laser: A Case Series

Treatment of lupus erythematosus of the eyelids with pulsed dye laser

Adherence to optical safety guidelines for laser‐assisted hair removal

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