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面部美容激光和光治疗中的眼部并发症:综述

Ocular Complication in Facial Aesthetic Laser and Light Treatments: A Comprehensive Review.

作者信息

Lee Kar Wai Alvin, Chan Lisa Kwin Wah, Lee Angela Wai Kay, Lee Cheuk Hung, Wan Jovian, Yi Kyu-Ho

机构信息

EverKeen Medical Centre, Hong Kong.

The Skin Oracle, Hong Kong.

出版信息

Diagnostics (Basel). 2024 Sep 10;14(18):2006. doi: 10.3390/diagnostics14182006.

Abstract

BACKGROUND

The increasing popularity of laser- and light-based esthetic treatments for facial rejuvenation has raised concerns regarding ocular safety. Although these procedures are generally considered safe and effective, there is a growing body of evidence highlighting the potential for ocular complications. This review aims to systematically analyze the types and mechanisms of ocular injuries associated with such treatments, as well as to evaluate preventive measures and management strategies.

METHODS

A comprehensive literature search was conducted using databases including MEDLINE, PubMed and Ovid for relevant studies published on clinical trials, diagnosis and treatment. Some papers were further reviewed using a double-blinding approach, varying sample sizes, control usage, randomization usage and objective endpoint measurements. All studies were classified according to the Oxford Centre for evidence-based medicine evidence hierarchy.

RESULT

Our review identified several types of ocular complications associated with facial laser or light treatments, including but not limited to conjunctival burns, corneal damage, retinal phototoxicity, and transient vision disturbances. The incidence of these complications varies significantly depending on the type of laser or light source employed, treatment parameters, and the anatomical proximity of the eyes to the treatment area. Factors such as inadequate protective measures, patient movement during the procedure, and the operator's experience were found to contribute to the risk of ocular injury. Strategies such as the use of appropriate eye protection, careful patient positioning, and thorough pre-treatment assessments were highlighted as essential preventive measures.

CONCLUSION

Ocular complications, though rare, represent a significant risk in facial esthetic laser and light treatments. This review underscores the importance of awareness among practitioners regarding the potential ocular hazards and the implementation of robust safety protocols. Future research is needed to establish standardized guidelines to minimize risks and enhance patient safety in esthetic dermatological practices. Continued education and improved protective strategies will be essential in safeguarding ocular health as the field of esthetic treatments continues to evolve. This comprehensive review serves as an essential resource for practitioners, informing them of ocular risks, management options, and the need for vigilance to mitigate complications in clinical practice.

摘要

背景

用于面部年轻化的基于激光和光的美容治疗日益普及,引发了人们对眼部安全的担忧。尽管这些治疗通常被认为是安全有效的,但越来越多的证据表明存在眼部并发症的可能性。本综述旨在系统分析与此类治疗相关的眼部损伤的类型和机制,以及评估预防措施和管理策略。

方法

使用包括MEDLINE、PubMed和Ovid在内的数据库进行全面的文献检索,以查找有关临床试验、诊断和治疗的相关研究。一些论文采用双盲方法、不同样本量、对照使用、随机化使用和客观终点测量进行进一步审查。所有研究均根据牛津循证医学中心的证据等级进行分类。

结果

我们的综述确定了与面部激光或光治疗相关的几种眼部并发症,包括但不限于结膜烧伤、角膜损伤、视网膜光毒性和短暂视力障碍。这些并发症的发生率因所使用的激光或光源类型、治疗参数以及眼睛与治疗区域的解剖距离而异。发现诸如保护措施不足、手术过程中患者移动以及操作者经验等因素会增加眼部损伤的风险。强调了使用适当的眼部保护、仔细的患者定位和全面的治疗前评估等策略作为基本预防措施。

结论

眼部并发症虽然罕见,但在面部美容激光和光治疗中是一个重大风险。本综述强调了从业者认识到潜在眼部危害以及实施强有力的安全协议的重要性。未来需要开展研究以建立标准化指南,以在美容皮肤科实践中最小化风险并提高患者安全性。随着美容治疗领域不断发展,持续教育和改进保护策略对于保障眼部健康至关重要。这一全面综述为从业者提供了重要资源,告知他们眼部风险、管理选择以及在临床实践中保持警惕以减轻并发症的必要性。

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