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KMID : 1037020170060010024
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Medical Lasers; Engineering, Basic Research, and Clinical Application
2017 Volume.6 No. 1 p.24 ~ p.28
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Erbium:Yttrium Aluminum Garnet Laser Treatment for Xanthelasma Palpebrarum
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Jung Su-Young
Hwang Na-Hyun
Yoon Eul-Sik
Park Seung-Ha
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Abstract
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Xanthelasma palpebrarum is presented as a yellow plaque on the eyelids. Xanthelasma lesions are composed of fat cells that accumulate in the dermis and subcutaneous layer; progressive accumulation involves the orbicularis oculi muscle. Most patients with this condition request to have the lesion removed for cosmetic reasons, for which various treatment options are available, including surgical excision, chemical peeling, cryotherapy, argon laser, carbon dioxide (CO2) laser, and neodymium:yttrium aluminum garnet (Nd:YAG) laser. Nevertheless, xanthelasmas are difficult to remove completely and has a high chance of recurrence. Recently, we were able to completely remove xanthelasma palpebrarum lesions in nine patients using erbium (Er):YAG laser. The Er:YAG laser seemed to maximize ablation effects, allowing us to easily determine whether the lesion had been completely removed. Moreover, we noted that, due to minor residual thermal damage, wound healing occurred rapidly with minimum side effects.
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KEYWORD
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Xanthelasma palpebrarum, Erbium:yttrium aluminum garnet laser
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