Eye Safety of Laser and Light-Based Devices

Sliney, David H.

doi:10.1016/b978-0-8155-1572-2.50029-4

Cited by 3 publications

(3 citation statements)

References 21 publications

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“… 4 , 5 Next, the materials comprising all the flooring, cabinetry, hardware, furniture, and equipment (e.g., Mayo stand) within the room must be nonreflective. 6 - 9 Direct viewing of a beam or its reflection can result in ocular injury, even with eye protection in place. As such, the presence of smooth, shiny, flat and/or curved surfaces that function like mirrors must be minimized.…”

Section: Resultsmentioning

confidence: 99%

“…To decrease the risk of injury from harmful reflections originating from the patient’s goggles, the stainless steel from which they are generally constructed should not be shiny or smooth. Either an anodized brushed finish should be sought, 9 or laser-safe stickers that also act to diffuse the incident beam should be applied as needed.…”

Section: Resultsmentioning

confidence: 99%

“…In practice, corneal eye shields are generally used when any laser or light-based treatments are occurring “near” the eyes, for instance when treating the upper eyelid or the lower eyelid where no underlying bony structures can be palpated. 9 , 17 , 22 Laser operators must also consider the bulk of the device handpiece that is being used. Some case reports of laser eye injury highlighted that eye protection was sometimes removed or “pushed out of the way” to accommodate the laser handpiece.…”

Section: Resultsmentioning

confidence: 99%

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Preventing Eye Injuries From Light and Laser-Based Dermatologic Procedures: A Practical Review

Glover

Richer

2023

J Cutan Med Surg

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The light and laser-based devices used in cosmetic dermatology practice carry a risk of serious ocular injury if appropriate safety measures are not put in place. Currently there is a lack of enforced regulation around the use of these devices. This raises concerns for the handling of these devices by operators who may not have adequate training and qualifications. There is also no mandated reporting of adverse events, thus precluding determination of the true incidence of laser-induced ocular injuries. To decrease the risk of ocular and periocular laser-induced injuries, several practical measures can be implemented within the clinical setting. Scientific articles were identified by performing a literature review using terms relevant to laser eye safety and a narrative review was performed. This article explores several components of laser eye safety: patient screening and informed consent, clinical environment considerations, operator considerations, protective eyewear selection for operators and patients, when to use a corneal shield, how to place a corneal shield and what to do in the event of a suspected eye injury. It is our prerogative that a functional understanding of the scientific underpinnings of laser eye safety coupled with observance of published standards has the potential to reduce incidents.

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