Optical Coherence Tomography Angiography Findings in a Case of Cosmetic Laser Induced Retinal Injury

We report the first known case of iris and retinal injury using optical coherence tomography angiography (OCTA) images following cosmetic laser injury. A 23-year-old female developed left iris and retinal injury post inadvertent firing of a 755 nm Alexandrite cosmetic laser. The patient had no significant past medical history and the injury resulted from inappropriate eye protection during laser use. Injury from the laser caused damage to the retinal pigment epithelium (RPE), iris pigment epithelium (IPE), and ciliary body epithelium (CPE). The OCTA imaging modality detected the vascular injury caused by the Alexandrite 755 nm laser to the choroid and RPE with subsequent images visualizing the healing response in the months postinjury.