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Small Case Series | Oct 2012

Ocular Injury After Laser Hair Reduction Treatment to the Eyebrow

David L. Parver, MD; Robert J. Dreher, MD; Sahar Kohanim, MD; Paul Zimmerman, MD; Geoffrey Garrett, MD; Laxmi Devisetty, MD; Louis R. Pasquale, MD

Arch Ophthalmol. 2012;130(10):1330-1334. doi:10.1001/archophthalmol.2012.1988.

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Laser hair reduction/removal techniques have advanced significantly since the Food and Drug Administration approved the procedure in 1996. In 1998, the first 2-year study demonstrating long-term success of permanent hair reduction/removal was reported using the normal-mode Ruby laser.¹Adverse effects of laser hair procedures include pain, surface burns to the superficial and deeper skin layers, reddening of the skin in the treated area, and folliculitis.²

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Figure 1. External photograph of the left eye of case 1 one day after eyebrow laser photoepilation. Note the temporal distortion of the pupil (arrow).

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Figure 2. Slitlamp photograph showing temporal posterior synechiae with iris transillumination defects (arrows).

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Figure 3. Case 3 illustrating relatively normal pupillary appearance 4 months after laser eyebrow photoepilation (A). However, residual damage to the temporal iris stroma resulted in pupillary distortion that is evident after pharmacological mydriasis (B). Retroillumination slitlamp photography (original magnification ×10) illustrates the pupillary distortion more clearly and also shows temporal iris transillumination defects in both eyes (C) (arrows).

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Figure 4. Retroillumination slitlamp biomicroscopic appearance in the left eye (original magnification ×16) in case 4 four years after eyebrow photoepilation illustrating iris transillumination defects and posterior subcapsular cataract formation (arrow).

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Figure 5. Slitlamp photograph (original magnification ×10) of the left eye taken with an iPhone 4 (Apple) custom adaptor 1 month after incident. No dilation drops were used. The slitlamp beam is focused nasally at the pupillary margin to illustrate pupillary distortion and temporal iris transillumination defects.

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Parver DL, Dreher RJ, Kohanim S, et al. Ocular Injury After Laser Hair Reduction Treatment to the Eyebrow. Arch Ophthalmol. 2012;130(10):1330-1334. doi:10.1001/archophthalmol.2012.1988.

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