Most laser-induced retinal injuries are caused by accidental laser discharge during the preparation of laser devices without protective goggles, laser injury during the cosmetic procedure in a dermatologist, is very rare, with no prior case reports.
A 55-year-old Asian male dermatologist visited our hospital with a 2-week history of visual disturbance in his right eye. He had experienced sudden central scotoma in the right eye while using a Q-switched Nd:YAG laser (1064 nm, 2 J/cm2, 6-mm spot size, 750 ps) 2 to 3 cm from the target without proper eye protection. He had applied a glass slide firmly onto the treatment area prior to commencing the procedure. The choroidal neovascularization (CNV) was detected via optical coherence tomography angiography (OCTA) 2 weeks after the laser injury.
Foveal CNV secondary to laser energy reflected from the glass slide.
Intravitreal bevacizumab (1.25 mg/0.05 mL) injection was performed.
Regression of CNV was observed.
Retinal injury can occur not only by direct laser beam exposure but also by way of a beam reflected from a glass slide. Operators should always use laser safety eyewear during cosmetic procedures involving laser devices, so as to prevent the occurrence of ocular complications. Thorough short-term follow-up with OCTA is recommended for the prompt detection of CNV in cases of retinal laser injury.
Department of Ophthalmology, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, Korea.
Correspondence: Yu Cheol Kim, Department of Ophthalmology, Keimyung University School of Medicine, #56 Dalseong-ro, Jung-gu, Daegu 41931, Korea (e-mail: firstname.lastname@example.org).
Abbreviations: BCVA = best corrected visual acuity, CNV = choroidal neovascularization, OCTA = optical coherence tomography angiography.
This work was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korea Government (MSIP) (No. 2014R1A5A2010008).
The authors have no conflicts of interest to disclose.
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Received December 10, 2018
Received in revised form March 26, 2019
Accepted April 2, 2019