Choroidal Neovascularization Post-Alexandrite Laser Hair Removal: OCT Angiography and Intravitreal aflibercept Injection: A Case Study

Document Type : Case articles

Authors

1 Ophthalmology department, Faculty of medicine, Kafr Elsheikh University, Egypt

2 Faculty of meedicine, KafrELSheikh University

3 Faculty of Medicine, Kafrelsheikh university, Egypt

4 Ophthalmology resident, Kafrelsheikh University Hospital, Egypt

Abstract

Introduction: Photic retinopathy is a rare condition that typically occurs due to prolonged exposure to intense light sources. This case report presents a unique instance of photic retinopathy resulting from accidental exposure to alexandrite laser.
Case presentation: A twenty-year-old female with no prior medical history experienced immediate vision loss in her left eye after unintentional self-exposure to an Alexandrite laser. Diagnostic imaging revealed a yellowish macular spot surrounded by a pigment halo on colored fundus photography, disrupted retinal layers on Optical Coherence Tomography (OCT), and occult choroidal neovascularization on Optical Coherence Tomography-Angiography (OCT-A), indicating significant macular damage. Various treatment strategies were employed to prevent further progression and improve vision.
Conclusion: This paper highlights a rare side effect of Alexandrite laser exposure detected using OCT-A. Early diagnosis and management, including intravitreal aflibercept injection, were crucial in achieving favorable visual outcomes. The implementation of specific protective measures is essential for preventing photic retinopathy

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Egyptian Journal of Ophthalmology, (Mansoura Ophthalmic Center)
Volume 4, Issue 2
June 2024
Pages 111-115

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