Choroidal Neovascularization Secondary to Alexandrite Laser Exposure

Wang, Rui; Wykoff, Charles C.; Christie, Lynsey; Croft, Daniel E.; Major, James C.; Fish, Richard H.; Brown, David M.

doi:10.1097/icb.0000000000000241

Cited by 20 publications

(20 citation statements)

References 12 publications

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“…However, the injury had affected the visual acuity and was irreversible, owing to the foveal localization of the lesion. Recently, Wang et al 11 have reported a case presented with immediate vision loss in the eye after accidentally Alexandrite laser exposure during laser hair removal without appropriate eye protection. In this case, there was subretinal hemorrhage associated with choroidal neovascularization and similarly to our case, the visual field defect was irreversible.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent macular burns and consecutive psychological depression secondary to Alexandrite laser epilation: A case report

Balyen

2019

Saudi Journal of Ophthalmology

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Unwanted hair is an important aesthetic problem in many cultures. Laser epilation devices have become commonly available at the present time. Nowadays, laser hair removal is widely practiced as a cosmetic procedure, however, some ocular complications may occur. The retina is the most vulnerable to laser-related injury which can lead to serious visual impairment. Laser epilation can cause serious complications and medical costs if not performed carefully and appropriately. The use of laser hair removal devices by unskilled aestheticians who is untrained and do not have the proper protective equipment at the beauty centers, can cause serious ophthalmological and psychological disorders and thus substantial labour productivity loss and economic loss. Therefore, the protective eyewear must be used by both the aesthetician and the patient during the procedure of laser epilation. In this way, we can improve the safety of both patients and aestheticians and at the same time ensure their healths. I reported the case of a 49-year-old female with a unilateral maculopathy responsible for an acute visual field defect and consecutive psychological depression secondary to Alexandrite laser epilation. This report is important to raise the awareness of ophthalmology and dermatology society and public about risks of their misuse.

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Section: Discussionmentioning

confidence: 99%

Inadvertent macular burns and consecutive psychological depression secondary to Alexandrite laser epilation: A case report

Balyen

2019

Saudi Journal of Ophthalmology

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“…Choroidal neovascularization was not observed in the follow-up but it has been described in the first three weeks after foveal exposure to laser beams. When present, treatment with 1 to 5 doses of intravitreal bevacizumab [8] or ranibizumab [9] has been used with excellent anatomical and visual outcomes. Cystoid macular edema (CME) has also been described as a complication of macular photocoagulation.…”

Section: Discussionmentioning

confidence: 99%

Retinal toxicity after facial laser epilation

Placinta

Freitas

Rahhal-Ortuño

et al. 2020

RJO

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A 39-year-old man presented to the ophthalmology emergency room complaining of decreased visual acuity and metamorphopsia on his left eye after undergoing Nd:YAG facial hair epilation without wearing proper eye protection. Fluorescein angiography showed a foveal staining initially, with an increase in foveal leakage over late phases. On optical coherence tomography, a subfoveal retinal pigment epithelial detachment with associated subretinal fluid and no signs of choroidal neovascularization or cystoid macular edema was observed. Observation with monthly follow-ups was adopted. By the fourth month, the subretinal fluid had already disappeared and visual acuity had returned to 20/20. Over one-year follow-up, the retinal pigment epithelial detachment experienced a decrease in its size. Conservative management may be a valid option in assessing accidental foveal photocoagulation when choroidal neovascularization or cystoid macular edema is absent. The use of wavelength specific goggles is mandatory for the patient and the aesthetician operating the cosmetic laser, especially when operating on the face or around the eyes.

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“…There are previous reports of retinal injuries and choroidal neovascularization secondary to alexandrite laser exposure. A patient developed choroidal neovascularization and sub-retinal haemorrhage which resolved after administration of five intravitreal ranibizumab injections and some others developed sub-retinal haemorrhage with associated sub-retinal fluid, which resolved after a single dose of intravitreal injection of bevacizumab 1.25 mg/0.05 ml [13,14].…”

Section: Discussionmentioning

confidence: 99%

Alexandrite Laser-Induced Choroidal Neovascularization Successfully Treated With Aflibercept

Diafas¹,

Stampouli²,

Dastiridou³

et al. 2020

Cureus

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A 33-year-old female was referred to the ophthalmology department after an accidental eye injury to her right eye during a hair removal session using alexandrite laser. Although she initially experienced no symptoms, when reexamined one and a half months later the bestcorrected visual acuity (BCVA) of the affected eye was 20/40 secondary to choroidal neovascularization confirmed by fluorescein angiography (FA) and optical coherence tomography (OCT). Intravitreal anti-vascular endothelial growth factor (VEGF) therapy (three monthly injections of aflibercept) led to complete regression of the neovascularization and functional recovery which was maintained at one-year follow-up post original injury.

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Choroidal Neovascularization Secondary to Alexandrite Laser Exposure

Abstract: The present case documents development and management of subretinal hemorrhage associated with choroidal neovascularization following macular photic trauma after accidental occupational to a 750-nm Alexandrite laser.

Cited by 20 publications

References 12 publications

Inadvertent macular burns and consecutive psychological depression secondary to Alexandrite laser epilation: A case report

Inadvertent macular burns and consecutive psychological depression secondary to Alexandrite laser epilation: A case report

Retinal toxicity after facial laser epilation

Alexandrite Laser-Induced Choroidal Neovascularization Successfully Treated With Aflibercept

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