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Ophthalmologists can incorporate non-invasive laser, light and energy devices, procedures

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WAILEA, Hawaii — Ophthalmologists should consider incorporating “lights and lasers” into their practice, according to a dermatologist speaking here at the Hawaiian Eye 2015 meeting.

Joely Kaufman

“You guys are the ones are comfortable around the eye, and a lot of dermatologists are not comfortable with that area. Some people do not want to put ocular shields in, they are worried and they do not know the anatomy. You are in a great position to do these procedures,” Joely Kaufman, MD, said.

Devices available used for pigmentation are intense pulsed light, Q-switch laser, KTP and 1927 nm thulium laser. Devices available used vascular lesions are intense pulsed light, pulsed dye laser, KTP laser and Nd:Yag laser. Skin tightening can be done with peels, lasers, radiofrequency and focused ultrasound.

“While non-ablative lasers are not great tightening devices on the face or jawline, they work fairly well under the eyes,” Kaufman said.

While there are many devices to choose from, one device can cost up to $200,000. Kaufman urges ophthalmologists to find a device that can accomplish most common requests of patients.

“Think about your decision on which one to get. Start with one and master that device and then branch out from there. Find one that is easy to operate and versatile,” Kaufman said. Operative complications are chemosis, diplopia, cautery fire, infection and orbital hemorrhage. — by Nhu Te

Disclosure: Kaufman reports receiving consultant fees from Allergan, Galderma and Merz and has contracted research from Allergan, Merz, Revance and Teoxane.