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Ocular injuries secondary to alexandrite laser-assisted hair removal

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1 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: /j.jcjo Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

2 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  , e71-e75DOI: ( /j.jcjo ) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

3 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  , e71-e75DOI: ( /j.jcjo ) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

4 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  , e71-e75DOI: ( /j.jcjo ) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions

5 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  , e71-e75DOI: ( /j.jcjo ) Copyright © 2017 Canadian Ophthalmological Society Terms and Conditions


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