PurposeTo report a case of bilateral iritis and transillumination defects after laser hair removal of the eyebrows with an alexandrite laser.MethodsA 41-year-old male presented with bilateral eye pain and mild photophobia 2 days after receiving alexandrite (755 nm) laser epilation of both eyebrows. Examination showed visual acuity of 20/20 in both eyes, 2+ conjunctival injection in both eyes, 1+ cells in the anterior chamber of right eye and trace cells in left eye, poor right pupil dilation, and left pupil without movement. Intraocular pressure and fundus examination were normal. He was diagnosed with iritis and iris atrophy, associated with laser epilation. Topical steroids and cycloplegic drops were prescribed for 1 month.ResultsAfter 1 month of treatment, transillumination defects remained in both eyes, but greater in right. In dim light, the right pupil was 4 mm and oval and the left pupil was 6 mm and round. Visual acuity remained 20/20 in both eyes.ConclusionLaser hair removal of the eyebrows can lead to permanent ocular damage even with eye protection, and should be avoided.
erreports-percent-spike-visits-involving-e-scooters/. Accessed 07.01.20. 5. Mitra B, Charters KE, Spencer JC, et al. Alcohol intoxication in non-motorised road trauma. Emerg Med Australas. 2017;29(1): 96e100. 6. Chiland E. California removes helmet requirement for electric scooters. Curbed LA. September 21, 2018. https://la.curbed. com/2018/9/21/17884220/bird-lime-scooters-rules-helmets-california. Accessed 07.01.20.
Pictures & PerspectivesComplications of Orbital Emphysema in a COVID-19 Patient A 74-year-old man presented with a 10-day history of fever, cough, and progressive dyspnea. The patient was diagnosed with severe pneumonia related to COVID-19, after a positive polymerase chain reaction test and radiographic imaging (Fig A). The hospital course was complicated by respiratory failure requiring orotracheal intubation. Refractory hypoxia prompted increased levels of positive end-expiratory pressure (up to 18 cm H 2 O) and prone positioning. Upon supination, subcutaneous emphysema extended from the chest to the face, unilaterally in the conjunctiva (Fig B), and bilaterally around the eyelids (Fig C). Complete ophthalmologic examination did not reveal any evidence of orbital compartment syndrome or vascular occlusion.
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