Huang Amy, Phillips Arianna, Adar Tony, Hui Andrea
Drs. Huang, Adar, and Hui are with the Department of Dermatology at the State University of New York Downstate Medical Center in Brooklyn, New York.
Ms. Phillips and Dr. Hui are with Bay Area Cosmetic Dermatology in San Francisco, California.
J Clin Aesthet Dermatol. 2018 Feb;11(2):15-18. Epub 2018 Feb 1.
The eye is a vulnerable and commonly injured organ in cosmetic laser procedures of the face. Treatment of the eyelids and periorbital areas increases this risk, especially when ocular protection devices are not used or are removed during the procedure. 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. 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. 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. Twenty-one cases are examined. 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. However, despite the proper use of intraocular corneal shields and wavelength-specific goggles, accidents occurred in 33 percent of cases. Ocular protection devices are essential to prevent most cases of laser-induced eye injury. Use of high fluence and long wavelength lasers increases the risk of ocular injury due to deeper penetration of the organ by radiation. Inadequate cooling between pulses also predisposes to injury by cosmetic lasers.
在面部美容激光手术中，眼睛是一个易受伤害且常受伤的器官。眼睑和眶周区域的治疗会增加这种风险，尤其是在手术过程中未使用眼部保护装置或装置被移除时。一项研究表明，眼周区域激光脱毛造成的损伤是皮肤激光手术中最常见的诉讼原因之一。本综述的目的是确定美容激光手术中眼部损伤的原因，并总结关键安全要素方面的经验教训，以预防未来的损伤。我们通过PubMed搜索面部美容激光治疗中眼部损伤的病例报告，对当前文献进行了综述。共审查了21例病例。在超过62%的病例中，未使用眼部保护装置，或虽使用了保护装置但在治疗眼部附近区域的过程中被移除。然而，尽管正确使用了眼内角膜防护罩和特定波长的护目镜，仍有33%的病例发生了事故。眼部保护装置对于预防大多数激光所致眼损伤至关重要。使用高能量密度和长波长激光会增加眼部损伤风险，因为辐射对该器官的穿透更深。脉冲之间冷却不足也易导致美容激光造成损伤。
