Concerns About Eye Damage After Laser Spot Removal Without Goggles - Ophthalmology

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Not wearing protective goggles during laser spot removal?


Hello, I would like to ask about a laser treatment for spot removal I had two weeks ago.
During the procedure, I did not wear protective goggles, and the closest points to my eyes were at the temples and above the eyebrows.
I found information online stating that laser light can penetrate the eyelids and potentially damage the pupil and lens.
Although I currently have no discomfort, I am still a bit concerned.
I would like to know if symptoms would always present if there was damage, and whether I should go to the hospital for a detailed examination.
Thank you for your response.

JJ, 30~39 year old female. Ask Date: 2016/12/05

Dr. Gao Pilin reply Ophthalmology


Hello JJ: If the doctor did not require you to wear protective goggles, there should generally be no cause for concern.
If there is any damage, it could affect your vision.
If you do not have any symptoms, you can simply monitor the situation.
However, if you notice any changes in your vision, please consult an ophthalmologist.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2016/12/05

More Info


It’s understandable to have concerns after undergoing a laser treatment, especially when protective goggles were not used during the procedure. Laser treatments can indeed pose risks to the eyes, particularly if the laser is directed near the eye area, as in your case with the treatment being close to the temples and eyebrows.
First, let’s address the primary concern: the potential for damage to the eyes from laser exposure. Lasers emit concentrated light that can cause thermal and photochemical damage to ocular tissues, including the cornea, lens, and retina. The severity of the damage often depends on several factors, including the type of laser used, the duration of exposure, and the distance from the eye.
In many cases, if there has been significant damage, symptoms may manifest. Common symptoms of eye damage can include:
1. Visual Disturbances: This can range from blurred vision to more severe issues like seeing flashes of light or floaters.

2. Pain or Discomfort: While some may experience immediate discomfort, others might not feel pain until later.

3. Redness or Irritation: This can indicate inflammation or damage to the surface of the eye.

4. Changes in Vision: Any sudden changes in vision should be taken seriously.

However, it’s important to note that not all eye injuries present immediate symptoms. Some damage, particularly to deeper structures like the lens or retina, may not be apparent until later. Therefore, even if you currently feel no discomfort or visual disturbances, it does not completely rule out the possibility of damage.

Given your situation, it would be prudent to consult with an ophthalmologist for a comprehensive eye examination. They can perform tests to assess the health of your eyes, including checking for any signs of damage to the cornea, lens, and retina. This may include visual acuity tests, dilated fundus examination, and possibly imaging studies if necessary.

In terms of whether symptoms always accompany damage, it varies. Some individuals may experience no immediate symptoms despite underlying issues, while others may have significant symptoms even with minor damage. Regular check-ups are essential, especially after procedures that pose risks to eye health.

Additionally, if you notice any changes in your vision, such as increased floaters, flashes of light, or any other unusual visual symptoms, it is crucial to seek medical attention promptly. Early detection and intervention can significantly improve outcomes and prevent further complications.

In conclusion, while you may currently feel fine, it is advisable to have a thorough eye examination to ensure that your eyes are healthy and to rule out any potential damage from the laser treatment. Taking proactive steps in monitoring your eye health is always a wise decision, especially after undergoing procedures that could pose risks.

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