Department of Dermatology, University of California, Irvine, California.
AboutSkin Dermatology and DermSurgery, Greenwood Village, Colorado.
Dermatol Surg. 2021 May 1;47(5):624-629. doi: 10.1097/DSS.0000000000002974.
Laser and light-based technologies have been used in the medical field for over 50 years. In dermatologic and cosmetic practice, cutaneous side effects are commonly discussed; however, ocular injury may also occur.
To complete a systematic review of the current literature regarding ocular complications in the dermatologic field after laser and/or light-based therapies.
A systematic review of the Medline database was performed in August 2020 using the search terms "laser or light and ocular and complication." The inclusion criteria were articles written in English discussing ocular complications after laser or light-based therapy for dermatologic or cosmetic indications.
A total of 36 articles were included for review. Carbon dioxide was the most frequently used laser causing ocular damage, and the most common ophthalmologic complication was temporary ectropion. Patients described visual disturbances and pain as the most common symptoms. A large proportion of articles did not report the use of appropriate eye protection at the time of injury.
Although ocular injury post-laser or light-based procedures are rare, clinicians must be acutely aware of the signs and symptoms associated with eye damage. The informed consent process should thoroughly describe the possibility of ocular complications post-treatment, and medical practices should have appropriate emergency plans and protective equipment in place to decrease both patient and staff risk of injury.
激光和光基技术在医学领域已经应用了 50 多年。在皮肤科和美容实践中，常讨论皮肤的副作用；然而，也可能发生眼部损伤。
对激光和/或光基疗法治疗皮肤科疾病后眼部并发症的现有文献进行系统回顾。
2020 年 8 月，使用“激光或光和眼部和并发症”的检索词在 Medline 数据库中进行了系统回顾。纳入标准为讨论皮肤科或美容适应证激光或光基治疗后眼部并发症的英文文章。
共纳入 36 篇文章进行综述。二氧化碳是最常引起眼部损伤的激光，最常见的眼科并发症是暂时的睑外翻。患者描述的最常见症状是视力障碍和疼痛。很大一部分文章没有报告在受伤时使用适当的眼部保护。
尽管激光或光基手术后眼部损伤很少见，但临床医生必须敏锐地意识到与眼部损伤相关的迹象和症状。知情同意过程应详细描述治疗后眼部并发症的可能性，医疗实践应配备适当的应急预案和防护设备，以降低患者和工作人员受伤的风险。
