Erbium:yttrium aluminum garnet laser versus Q-switched neodymium:yttrium aluminum garnet laser for the treatment of xanthelasma palpebrarum

Several lasers have been used for the treatment of xanthelasma palpebrarum (XP), such as Q-switched neodymium:yttrium aluminum garnet (QSNd:YAG) and erbium:yttrium aluminum garnet (Er:YAG) laser. Up to now, a comparative study among these laser options in the treatment of XP has not been reported. T...

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Bibliographic Details
Published in:Journal of cosmetic and laser therapy 2017-04, Vol.19 (2), p.100-105
Main Authors: Balevi, Ali, Ustuner, Pelin, Ozdemir, Mustafa
Format: Article
Language:English
Subjects:
Adult
Aged
Aluminum
Cosmetic Techniques - adverse effects
Cosmetic Techniques - instrumentation
Erbium
Eyelid Diseases - surgery
Female
Humans
Lasers, Solid-State - therapeutic use
Male
Middle Aged
Neodymium
Recurrence
Wound Healing
Xanthomatosis - surgery
Yttrium
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Summary:Several lasers have been used for the treatment of xanthelasma palpebrarum (XP), such as Q-switched neodymium:yttrium aluminum garnet (QSNd:YAG) and erbium:yttrium aluminum garnet (Er:YAG) laser. Up to now, a comparative study among these laser options in the treatment of XP has not been reported. The aim of this study was to compare the clinical efficacy and response rates of QSNd:YAG and Er:YAG in the treatment of XP. Sixty patients with a total of 102 XP lesions were randomly and equally divided into two groups. The first group was treated with QSNd:YAG at a fluence of 10 joule/cm , 10 Hz and 2 mm spot size, and the second group was treated with Er:YAG at 200-300 millijoule, 4 Hz and 2 mm spot size. In the Er:YAG group, the percentage of patients who required 3 or 4 sessions and wound healing time were higher compared to those of the QSNd:YAG group. Furthermore, the percentage of patients who had an improvement score of 4 was higher in the Er:YAG than that in the QSNd:YAG group. Er:YAG is an efficient, successful and minimally invasive method without long-lasting adverse effects.
ISSN:1476-4172
1476-4180
DOI:10.1080/14764172.2016.1256488