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脱毛过程中意外激光照射后导致的严重视网膜损伤和脉络膜新生血管形成:一例报告

Severe Retinal Damage and Choroidal Neovascularization Following Accidental Laser Exposure During Hair Removal: A Case Report.

作者信息

Abbas Mohammad A, Mohammad Najah K

机构信息

Department of Surgery, Ophthalmology Unit, Ghazi Al-Harriri for Surgical Specialities Hospital, Medical City Complex, Baghdad, IRQ.

Department of Ophthalmology, College of Medicine, University of Baghdad, Baghdad, IRQ.

出版信息

Cureus. 2024 Sep 10;16(9):e69075. doi: 10.7759/cureus.69075. eCollection 2024 Sep.

Abstract

Ocular injuries from cosmetic laser procedures are perhaps more problematic with regard to laser hair removal, given that some of the losses in vision may be significant and even permanent. Protective eyewear, for example, plays a very critical role in preventing such injuries. The following is a case report of a 24-year-old female technician who suffered serious retinal damage and consequent choroidal neovascularization (CNV) following accidental exposure to a laser hair removal device without wearing protective eyewear. She had first presented with a best-corrected visual acuity (BCVA) of 6/6 in the right eye and 6/60 in the left. An initial optical coherence tomography (OCT) had shown outer retinal damage. Within two weeks, she had a decrease of vision to counting fingers at three meters in the left eye, and it was diagnosed as CNV. Anti-vascular endothelial growth factor (VEGF) intravitreal therapy was promptly initiated. This case underlines the vital importance of very strict safety measures and timely intervention to manage laser-induced ocular injury effectively.

摘要

就激光脱毛而言,美容激光手术造成的眼部损伤可能更成问题,因为一些视力损失可能很严重甚至是永久性的。例如,防护眼镜在预防此类损伤方面起着非常关键的作用。以下是一例病例报告,一名24岁的女性技术员在未佩戴防护眼镜的情况下意外接触激光脱毛设备后,遭受了严重的视网膜损伤并随之出现脉络膜新生血管(CNV)。她初诊时右眼最佳矫正视力(BCVA)为6/6,左眼为6/60。最初的光学相干断层扫描(OCT)显示外层视网膜损伤。两周内,她左眼视力下降至只能在三米处数手指,并被诊断为CNV。随即迅速开始了抗血管内皮生长因子(VEGF)玻璃体腔内治疗。该病例强调了采取非常严格的安全措施以及及时干预以有效处理激光所致眼部损伤的至关重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1e8/11466002/48fb956cd374/cureus-0016-00000069075-i01.jpg

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