Ocular injuries secondary to alexandrite laser-assisted hair removal

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Ocular injuries secondary to alexandrite laser-assisted hair removal Mohammed S. Asiri, MD, Majed Alharbi, MD, Trad Alkadi, MD, Marwan Abouammoh, MD, Mohammed Al-Amry, MD, Yahya ALZahrani, MD, Sulaiman M. Alsulaiman, MD Canadian Journal of Ophthalmology Volume 52, Issue 2, Pages e71-e75 (April 2017) DOI: 10.1016/j.jcjo.2016.09.013 Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

Fig. 1 Clinical presentation and course of patient 2. A, Fundus photograph of the right eye at presentation showing intraretinal hemorrhage in the foveal region. B, Spectral domain optical coherence tomography (SD-OCT) showing a hyperreflective lesion affecting the ganglion and inner plexiform layers. C, Right eye fundus photograph at 3 weeks showing complete resolution of the hemorrhage with a dull foveal reflex. D, SD-OCT at 6 months showing intact retinal layers. Canadian Journal of Ophthalmology 2017 52, e71-e75DOI: (10.1016/j.jcjo.2016.09.013) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

Fig. 2 Clinical presentation and course of patient 3. A, Left eye fundus photograph at presentation showing a localized subfoveal hemorrhage associated with subretinal fluid. B, Spectral domain optical coherence tomography (SD-OCT) at presentation showing a subfoveal hyperreflective lesion along with adjacent hyporeflectivity. C and D, Left eye fundus fluorescein angiography (FFA) showing early hyperfluorescence with leakage in the late phase suggestive of a choroidal neovascular membrane. E, Fundus photograph 1 month after intravitreal bevacizumab injection showing complete resolution of the hemorrhage and subretinal fluid with small retinal pigment epithelium detachment. F, Macular SD-OCT 1 month after injection showing a small pigment epithelial detachment. Canadian Journal of Ophthalmology 2017 52, e71-e75DOI: (10.1016/j.jcjo.2016.09.013) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

Fig. 3 Clinical presentation and course of patient 4. A, Left eye fundus photograph at presentation showing a localized subfoveal hemorrhage associated with subretinal fluid. B, Spectral domain optical coherence tomography (SD-OCT) at presentation depicting a subfoveal hyperreflective lesion along with adjacent hyporeflectivity. C, Left eye fundus photograph 1 month after intravitreal bevacizumab injection showing complete resolution of the hemorrhage and subretinal fluid. D, Macular SD-OCT 3 months after intravitreal injection showing a very small pigment epithelial detachment. Canadian Journal of Ophthalmology 2017 52, e71-e75DOI: (10.1016/j.jcjo.2016.09.013) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

Fig. 4 Examples of safety eyewear for laser procedures. A, Safety opaque goggles for the patient’s eyes. B, Corneal shields. C, Safety goggles with side shields. Canadian Journal of Ophthalmology 2017 52, e71-e75DOI: (10.1016/j.jcjo.2016.09.013) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions