12/25/2023 0 Comments Burnt eyeballs![]() Three essential requirements must be met in cases of selective photothermolysis: 1) a wavelength that penetrates deeply enough and is preferentially absorbed by the chromophore or target, 2) an exposure duration (pulse width and pulse duration) less than or equal to the thermal relaxation time (TRT) of the target, and 3) sufficient energy (fluence) to cause irreversible damage to the target. Specific to cutaneous lasers, the technique of selective photothermolysis damages a specific target, such as a blood vessel, while sparing surrounding tissue. Lasers have been used in dermatology for over 50 years. Inadequate cooling between pulses also predisposes to injury by cosmetic lasers. Use of high fluence and long wavelength lasers increases the risk of ocular injury due to deeper penetration of the organ by radiation. CONCLUSION: Ocular protection devices are essential to prevent most cases of laser-induced eye injury. However, despite the proper use of intraocular corneal shields and wavelength-specific goggles, accidents occurred in 33 percent of cases. RESULTS: In more than 62 percent of cases, ocular protection was not used or protection was used but removed during the procedure to treat areas close to the eye. METHODS: We conducted a review of the current literature through a PubMed search on case reports of ocular injury in cosmetic laser treatments of the face. OBJECTIVE: The goal of this review is to determine the causes of ocular injury in cosmetic laser procedures and derive lessons on critical safety elements to prevent future injury. A study has shown that injury from laser epilation of the periocular areas is one of the most common causes of litigation in cutaneous laser surgery. ![]() Treatment of the eyelids and periorbital areas increases this risk, especially when ocular protection devices are not used or are removed during the procedure. BACKGROUND: The eye is a vulnerable and commonly injured organ in cosmetic laser procedures of the face.
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