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首页> 外文期刊>Retinal cases & brief reports >A CASE OF ACCIDENTAL OCULAR INJURY FROM COSMETIC LASER BURN
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A CASE OF ACCIDENTAL OCULAR INJURY FROM COSMETIC LASER BURN

机译：一例美容激光烧伤引起的眼部意外伤害

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Purpose: To report the clinical course of a patient sustaining a ocular laser injury from 1,064-nm Nd:YAG cosmetic laser machine.Method and Patient: A 31 -year-old beauty parlor aesthetician was operating an Nd:YAG cosmetic laser machine of 1,064 nm wavelength. However, the probe was held in the opposite direction, and on firing, the laser shot fired into her left eye. The patient heard a "pop" sound followed by immediate floaters and blurring of vision. Her clinical course was followed for 6 weeks, with investigations including optical coherence tomography, fluorescein angiogram, and Humphrey's visual field examination performed.Results: Optical coherence tomography taken over the injured area showed thickened retina and preretinal hyperreflectivities. Fluorescein angiogram showed hypofluorescence superonasal to the disk with late staining of vessels. Humphrey's visual field showed a dense scotoma emanating from the blind spot. The lesion eventually scarred down, and the patient's vision recovered.Discussion: The eye is the most susceptible body part to laser light injury. A review of reported laser accidents revealed the majority to be ocular injuries. The retina is particularly vulnerable, as laser light with wavelength between 400 nm and 1,400 nm is focused by the cornea and lens onto the retina, increasing the retinal irradiance as a result. Most injuries were parafoveal, suggesting that most injuries occurred during laser beam alignment. The prognosis is generally favorable. As laser use becomes more widespread and its application increasingly heterogeneous, regulation of laser use and monitoring of laser safety are crucial but at the same time challenging.
机译：目的：报告患者在1,064 nm Nd：YAG美容激光机上遭受眼部激光损伤的临床过程。方法和患者：一名31岁的美容院美容师正在操作1,064 nm的Nd：YAG美容激光机纳米波长。但是，探头的方向相反，发射时，激光束射入了她的左眼。病人听到“砰”的一声，然后立即浮起来，视力模糊。她的临床过程进行了6周，包括光学相干断层扫描，荧光素血管造影和汉弗莱视野检查。结果：对受伤区域进行光学相干断层扫描显示视网膜增厚和视网膜前高反射率。荧光素血管造影显示椎间盘低荧光性超鼻腔，血管后期染色。汉弗莱（Humphrey）的视野显示出从盲点散发出的浓密刻痕。病变最终疤痕消失，患者的视力恢复。讨论：眼睛是最容易受到激光伤害的身体部位。对报告的激光事故的回顾表明，大多数是眼外伤。视网膜特别容易受到伤害，因为波长在400 nm至1400 nm之间的激光被角膜和晶状体聚焦到视网膜上，从而增加了视网膜的辐照度。多数损伤为小凹，这表明大多数损伤发生在激光束对准过程中。预后总体良好。随着激光的使用变得越来越广泛并且其应用越来越多样化，对激光使用的监管和对激光安全性的监控至关重要，但同时也面临挑战。

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