Abstract

We report the first known case of iris and retinal injury using optical coherence tomography angiography (OCTA) images following cosmetic laser injury. A 23-year-old female developed left iris and retinal injury post inadvertent firing of a 755 nm Alexandrite cosmetic laser. The patient hadno significant past medical history and the injury resulted from inappropriate eye protection during laser use. Injury from the laser caused damage to the retinal pigment epithelium (RPE), iris pigment epithelium (IPE), and ciliary body epithelium (CPE). The OCTA imaging modality detected the vascular injury caused by the Alexandrite 755 nm laser to the choroid and RPEwith subsequent images visualizing the healing response in the months postinjury.

Highlights

  • The popularity of cosmetic laser procedures results in a rise in ocular injuries with the most reported injury occurring from laser hair removal of the periorbital areas

  • We report the first known case of iris and retinal injury using optical coherence tomography angiography (OCTA) images following cosmetic laser injury

  • The OCTA imaging modality detected the vascular injury caused by the Alexandrite 755 nm laser to the choroid and retinal pigment epithelium (RPE) with subsequent images visualizing the healing response in the months postinjury

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Summary

Introduction

The popularity of cosmetic laser procedures results in a rise in ocular injuries with the most reported injury occurring from laser hair removal of the periorbital areas. The patient works as a medical assistant at a dermatology practice where she performs laser hair removal with a Candela GentleLase Mini laser (755 nm Alexandrite). She was not wearing protective glasses when the laser inadvertently fired. At the one-week follow up visit, the patient reported improvement in pain but persistent light sensitivity. Her examination demonstrated 2+ anterior pigmented cells. At the 26-day follow-up visit, the patient had continued light sensitivity and 2+ anterior pigmented cells. The patient complained of white washed vision and was concerned about the cosmesis of her iris to which a recommendation to visit an optometrist for colored contact lenses was made

Discussion
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Topics from this Paper

  • Cosmetic Laser
  • Optical Coherence Tomography Angiography Findings
  • Retinal Pigment Epithelium
  • Iris Pigment Epithelium
  • Retinal Injury
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