背景:随着光辅助脱毛的广泛应用,不良反应的报告越来越多。
目的:回顾所有报道的激光或强脉冲光辅助脱毛的光学事件和皮肤并发症。
方法:进行了PubMed数据库系统搜索,以识别2022年7月之前报告此类不良事件的研究,使用网格术语“不良反应”和“脱毛”和(“激光”或“强脉冲光”)。
结果:总之,确定了358个参考文献。排除重复项之后,无关的文章,指导方针,和会议摘要,然后添加来自研究参考书目的参考文献,共有104份出版物。眼部事件包括前葡萄膜炎,虹膜炎和虹膜萎缩,瞳孔畸变,后粘连,前房色素,和前包膜下区域的白内障。皮肤并发症包括疼痛,烧伤,毛囊炎,白癜风,矛盾的多毛症,色素变化,痣的变化,PiliBigemini,疱疹感染,多汗症,腋臭,Fox-Fordyce病,还有冷却系统的冻伤.它们主要与皮肤类型和身体区域以及光设备和设置参数相关。人们发现强烈的脉冲光设备比翠绿宝石激光痛苦小,但比二极管激光更痛苦;Nd:YAG激光的疼痛评分最高。
结论:可以系统地避免光学事件。皮肤并发症通常与专业错误和患者特征有关。更好的激光物理知识和对激光操作员的充分培训是避免不良副作用的关键建议。安全性建议有助于预防大多数报告的并发症。
BACKGROUND: With light-assisted hair removal becoming widely used, reports of adverse effects are increasing.
OBJECTIVE: To review all the reported optical incidents and cutaneous complications of laser or intense pulse light-assisted hair removal.
METHODS: A PubMed database systematic search was performed to identify studies reporting such adverse events before July 2022 using the Mesh terms \"adverse effects\" AND \"hair removal\" AND (\"laser\" OR \"intense pulse light\").
RESULTS: Altogether, 358 references were identified. After excluding duplicates, unrelated articles, guidelines, and conference abstracts, then adding references from studies bibliography, 104 publications were included. Ocular incidents consisted of anterior uveitis, iritis and iris atrophy, pupillary distortion, posterior synechiae, anterior chamber pigment, and cataracts in the anterior subcapsular region. Cutaneous complications consisted of pain, burns, folliculitis, leukotrichia, paradoxical hypertrichosis, pigmentary changes, changes in nevi, pili bigemini, herpes infection, hyperhidrosis, bromhidrosis, Fox-Fordyce disease, and frostbite from the cooling system. They were mostly correlated to skin type and body area as well as to light device and set parameters. Intense pulse light devices were found to be less painful than alexandrite laser, yet more painful than diode laser; Nd:YAG laser had the highest pain score.
CONCLUSIONS: Optical incidents can be systematically avoided. Cutaneous complications are usually related to professional errors and patient characteristics. Better knowledge of laser physics and adequate training of laser operators are key recommendations to avoid undesirable side effects. Safety recommendations help prevent most of the reported complications.