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Foveal choroidal neovascularization secondary to accidental laser exposure in a dermatologist A case report

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Author(s)
You Hyun LeeYu Cheol Kim
Keimyung Author(s)
Kim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
Medicine
Issued Date
2019
Volume
98
Issue
18
Keyword
case reportchoroidal neovascularizationfovealaserretina
Abstract
Rationale:
Most laser-induced retinal injuries are caused by accidental laser discharge during the preparation of laser devices without protective goggles, laser injury during the cosmetic procedure in a dermatologist, is very rare, with no prior case reports.

Patient concerns:
A 55-year-old Asian male dermatologist visited our hospital with a 2-week history of visual disturbance in his right eye. He had experienced sudden central scotoma in the right eye while using a Q-switched Nd:YAG laser (1064nm, 2J/cm2, 6-mm spot size, 750ps) 2 to 3cm from the target without proper eye protection. He had applied a glass slide firmly onto the treatment area prior to commencing the procedure. The choroidal neovascularization (CNV) was detected via optical coherence tomography angiography (OCTA) 2 weeks after the laser injury.

Diagnosis:
Foveal CNV secondary to laser energy reflected from the glass slide.

Intervention:
Intravitreal bevacizumab (1.25mg/0.05mL) injection was performed.

Outcomes:
Regression of CNV was observed.

Lessons:
Retinal injury can occur not only by direct laser beam exposure but also by way of a beam reflected from a glass slide. Operators should always use laser safety eyewear during cosmetic procedures involving laser devices, so as to prevent the occurrence of ocular complications. Thorough short-term follow-up with OCTA is recommended for the prompt detection of CNV in cases of retinal laser injury.

Abbreviations:
BCVA = best corrected visual acuity, CNV = choroidal neovascularization, OCTA = optical coherence tomography angiography.
Keimyung Author(s)(Kor)
김유철
Publisher
School of Medicine (의과대학)
Citation
You Hyun Lee and Yu Cheol Kim. (2019). Foveal choroidal neovascularization secondary to accidental laser exposure in a dermatologist A case report. Medicine, 98(18), e15429–e15429. doi: 10.1097/MD.0000000000015429
Type
Article
ISSN
1536-5964
Source
https://insights.ovid.com/pubmed?pmid=31045804
DOI
10.1097/MD.0000000000015429
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42001
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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