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Intense Pulsed Light for the Treatment of Dry Eye Owing to Meibomian Gland Dysfunction

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Published on: April 1, 2019

[Ocular complications in intense pulsed light therapy (case study)].

A A Kazak¹, A N Kulikov¹, D S Maltsev¹

¹S.M. Kirov Military Medical Academy, Saint Petersburg, Russia.

Vestnik Oftalmologii

|November 9, 2023

Summary

Intense pulsed light (IPL) therapy can cause eye complications, including iris burns and persistent pupil dilatator dysfunction. This case highlights potential risks following IPL treatment for subcutaneous hemorrhage.

Keywords:

anisocoria discoria intense pulsed light therapy iritis optical coherence tomography optical coherence tomography angiography

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Area of Science:

Ophthalmology
Dermatology

Background:

Intense pulsed light (IPL) therapy is utilized for various dermatological conditions, including the treatment of subcutaneous hemorrhages.
Ocular side effects from IPL therapy are potential but not fully characterized.

Observation:

A 24-year-old female developed photophobia, redness, and dryness in her right eye post-IPL treatment.
Ophthalmic examination revealed medically induced mydriasis with pupil dilatator paresis in the left eye.
Anterior segment optical coherence tomography (OCT) showed anterior chamber inflammation and increased iris vascularity.

Findings:

Despite treatment with topical tropicamide and dexamethasone, pupil dilatator function did not recover after three months.
The patient experienced persistent discoria and pupil dilatator dysfunction in the left eye.

Implications:

IPL therapy carries risks of ocular complications, such as iris burns and iritis.
Persistent pupil dilatator dysfunction is a potential, long-term complication of IPL treatment.
Ophthalmologists and dermatologists should be aware of these risks when considering IPL therapy.