Bilateral Thermal Keratopathy Due to Plasma Skin Regeneration

A 40-year-old woman underwent periocular plasma skin regeneration, a cosmetic treatment for periorbital rejuvenation. She subsequently developed bilateral thermal keratitis, manifesting as blurred vision, irritation, and redness, with a vision decrease to 20/60 and 20/50 in her OD and OS, respective...

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Bibliographic Details
Published inOphthalmic plastic and reconstructive surgery Vol. 40; no. 3; p. e89
Main Authors Meyer, Benjamin I, Gutkind, Naomi E, Shoji, Marissa K, Rong, Andrew J
Format Journal Article
LanguageEnglish
Published United States 01.05.2024
Subjects
Adult
Cosmetic Techniques - adverse effects
Eye Burns - chemically induced
Eye Burns - diagnosis
Female
Humans
Keratitis - diagnosis
Keratitis - etiology
Keratitis - physiopathology
Plasma Gases - therapeutic use
Regeneration - physiology
Visual Acuity
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Summary:A 40-year-old woman underwent periocular plasma skin regeneration, a cosmetic treatment for periorbital rejuvenation. She subsequently developed bilateral thermal keratitis, manifesting as blurred vision, irritation, and redness, with a vision decrease to 20/60 and 20/50 in her OD and OS, respectively. Examination demonstrated bilateral large, irregular corneal epithelial defects and edema, necessitating treatment with amniotic membrane grafts, bandage contact lenses, and hypertonic saline. One year posttreatment, her visual acuity improved to 20/20 and 20/25, albeit with ongoing symptomatic dryness and bilateral anterior stromal haze. This case, as only the second reported instance of ocular damage from periocular plasma skin regeneration, underscores the need for heightened awareness of potential ocular complications following plasma skin regeneration and reinforces the importance of protective measures during periocular procedures.
ISSN:1537-2677
DOI:10.1097/IOP.0000000000002618