Chua D, et al. - In order to explain the occurrence of corneal inlay damage after treatment to the eyelids and face with an Nd:YAG laser, researchers report the case of a 58-year-old man who had received bilateral uncomplicated myopic laser in situ keratomileusis surgery in 2003 and corneal inlay implant in the nondominant left eye in 2013. He received 2 passes of the Nd:YAG laser to his face and both eyelids for facial tightening and thereafter he developed reduced visual acuity (VA) and pain in the left eye. The uncorrected VA at presentation was counting fingers OS and 20/20 OD. Due to deteriorating VA and increasing corneal haze, explant of the inlay and debridement was performed 48 hours later. The resolve of the intrastromal discoloration was observed at 3 months following the inlay explant, however, residual corneal haze persisted but a best-corrected VA of 20/25 OS for distance and J3 (Snellen equivalent, 20/30) OS for near was achievable. Experts recommended inquiry about a history of corneal inlay implant before any long-pulsed Nd:YAG laser treatment to the periorbital skin and eyelids. Avoiding laser treatment to the eyelids was advised. Also, the use of protective eyewear or corneal shields was suggested during cosmetic facial laser treatment in all patients.