Exposure Keratopathy After Cosmetic CO2 Laser Skin Resurfacing

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Purpose.To report two cases of exposure keratopathy after cosmetic CO2 laser skin resurfacing.Methods.Two patients presented with bilateral intrapalpebral epitheliopathy. They were examined, treated, and followed for several weeks.Results.Nonsurgical treatment options, including a variety of lubricants, punctal plugs, and lid taping, did not lead to a complete resolution of symptoms. Surgical options were recommended.Conclusion.Exposure keratopathy should be recognized as a potential side effect of not only incisional lid surgery but also facial CO2 laser skin resurfacing procedures.

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