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Purpose : 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.
Methods : A 55-year-old Asian male dermatologist visited our hospital with a 2 weeks history of visual disturbance in his right eye. A 55-year-old Asian male dermatologist experienced sudden central scotoma in the right eye while using a Q-switched Nd: YAG laser (1064 nm, 2 J/cm2, 6-mm spot size, 750 ps) 2–3 cm from the target without proper eye protection. Optical coherence tomography angiography (OCTA; DRI OCT Triton; Topcon, Tokyo, Japan) and fluorescein angiography (HRA-2; Heidelberg Engineering, Dossenheim, Germany) were performed.
Results : An intravitreal bevacizumab injection (1.25 mg/0.05 mL) was administered, followed by a second injection 4 weeks later. Twelve weeks thereafter, BCVA had improved to 20/80 and fundus examination revealed a flattened retina with resolution of the intraretinal and subretinal hemorrhaging in the right eye. OCTA revealed improvement of subretinal fluid and reduction in the size of the CNV.
Conclusion : 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.
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