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Bilateral Scleral Thermal Injury: Complication After Skin Laser Resurfacing
Arch Ophthalmol. 2000;118:848-850.
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In 1980, Beckmann and Fuller1 were the first to use the carbon dioxide (CO2) laser in blepharoplastic surgery. Reported advantages of CO2 laser blepharoplasty include decreased postoperative edema, less pain, and a shorter convalescence in comparison with conventional surgery.2 We are aware of only 1 report on the use of a combined CO2/Nd:YAG laser: in 1996, Katalinich3 reported that 50 patients treated for cutaneous neurofibromas had shorter surgery times, less hemorrhages, and sufficient removal with the Nd:YAG laser vs with the CO2 laser alone. To the best of our knowledge, complications of this treatment have not yet been described.
Report of a Case
A 45-year-old man with Recklinghausen neurofibromatosis had undergone laser resurfacing because of multiple facial neurofibromas, especially in the periorbital region. He was treated in a plastic surgeon's office using, as far as we know, a combined CO2/Nd:YAG laser (Combolaser; Madtec GmbH, Ulm, Germany) (power settings: CO2 laser, 20-25 . . . [Full Text of this Article] Comment
Helga Spelsberg, MD;
Peter Hering, PhD;
Thomas Reinhard, MD;
Rainer Sundmacher, MD, FRCOphth
Düsseldorf, Germany
Corresponding author: Helga Spelsberg, MD, Eye Hospital, Heinrich-Heine-University, Moorenstrasse 5, 40225 Düsseldorf, Germany (e-mail: spelsber@uni-duesseldorf.de).
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