Thermal eye injuries from dermatologic laser treatments-an experimental study
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Thermal eye injuries from dermatologic laser treatments-an experimental study. / Nguyen, Lynhda; Seeber, Nikolaus; Schneider, Stefan W; Herberger, Katharina.
in: LASER MED SCI, Jahrgang 38, Nr. 1, 22.04.2023, S. 110.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Thermal eye injuries from dermatologic laser treatments-an experimental study
AU - Nguyen, Lynhda
AU - Seeber, Nikolaus
AU - Schneider, Stefan W
AU - Herberger, Katharina
N1 - © 2023. The Author(s).
PY - 2023/4/22
Y1 - 2023/4/22
N2 - In recent years, severe ocular complications after dermatological laser therapies have been reported. One hypothesis is thermal damage due to heating of the metal eye shields. The aim of the present study is to evaluate the safety of ocular metal eye shields during laser therapy of the periocular region. For the experimental study, porcine eyelids were exposed to continuously increasing laser energy and multiple pulses using a number of dermatologic laser systems. Temperature differences of the convex and concave surface of metal eye shields were constantly measured using a thermocouple. Maximum increase of the convex surface of shields was + 8.9 °C (± 0.1 °C) provided by the long-pulsed alexandrite laser (20-25-J/cm2 energy, 15-mm spot size, 20-ms pulse duration, 1 Hz). Present data indicate that metal eye shields provide sufficient thermal protection when clinically used laser parameters are applied. Other safety precautions continue to be essential to protect both the patient and the laser operator. These include the use of nonreflective metal eye shields, precise knowledge of laser physics, and a clear understanding of how they interact with ocular and periocular anatomy.
AB - In recent years, severe ocular complications after dermatological laser therapies have been reported. One hypothesis is thermal damage due to heating of the metal eye shields. The aim of the present study is to evaluate the safety of ocular metal eye shields during laser therapy of the periocular region. For the experimental study, porcine eyelids were exposed to continuously increasing laser energy and multiple pulses using a number of dermatologic laser systems. Temperature differences of the convex and concave surface of metal eye shields were constantly measured using a thermocouple. Maximum increase of the convex surface of shields was + 8.9 °C (± 0.1 °C) provided by the long-pulsed alexandrite laser (20-25-J/cm2 energy, 15-mm spot size, 20-ms pulse duration, 1 Hz). Present data indicate that metal eye shields provide sufficient thermal protection when clinically used laser parameters are applied. Other safety precautions continue to be essential to protect both the patient and the laser operator. These include the use of nonreflective metal eye shields, precise knowledge of laser physics, and a clear understanding of how they interact with ocular and periocular anatomy.
KW - Animals
KW - Swine
KW - Eye Injuries
KW - Light
KW - Laser Therapy/adverse effects
KW - Lasers
U2 - 10.1007/s10103-023-03769-3
DO - 10.1007/s10103-023-03769-3
M3 - SCORING: Journal article
C2 - 37086295
VL - 38
SP - 110
JO - LASER MED SCI
JF - LASER MED SCI
SN - 0268-8921
IS - 1
ER -