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Ocular Complications After Laser or Light-Based Therapy-Dangers Dermatologists Should Know
Margit Juhasz1, Christopher Zachary1, Joel L Cohen1,2
1Department of Dermatology, University of California, Irvine, California.
Summary
Ocular complications from laser and light therapies, though rare, can occur. Carbon dioxide lasers most frequently caused temporary ectropion, with patients reporting visual disturbances and pain. Proper eye protection is crucial.
Area of Science:
- Ophthalmology
- Dermatology
- Medical Technology
Background:
- Laser and light-based technologies have over 50 years of medical use.
- While cutaneous side effects are common in dermatologic and cosmetic practices, ocular injury is also a potential risk.
Purpose of the Study:
- To systematically review the literature on ocular complications following dermatologic and cosmetic laser and light-based therapies.
Main Methods:
- A systematic literature review of the Medline database was conducted in August 2020.
- Search terms included "laser or light and ocular and complication."
- English-language articles on ocular complications from dermatologic/cosmetic laser/light therapy were included.
Main Results:
- 36 articles were reviewed, with carbon dioxide lasers being the most frequent cause of ocular damage.
- Temporary ectropion was the most common ophthalmologic complication.
- Patients commonly reported visual disturbances and pain; many incidents lacked reported eye protection.
Conclusions:
- Ocular injuries from laser/light procedures are rare but require clinician awareness of signs and symptoms.
- Informed consent must detail potential ocular complications.
- Practices need emergency plans and protective equipment to mitigate risks.
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