Treatment of Superficial Infantile Hemangiomas of the Eyelid Using the 595‐nm Pulsed Dye Laser

@article{Hunzeker2010TreatmentOS,
  title={Treatment of Superficial Infantile Hemangiomas of the Eyelid Using the 595‐nm Pulsed Dye Laser},
  author={Christopher M. Hunzeker and Roy G. Geronemus},
  journal={Dermatologic Surgery},
  year={2010},
  volume={36},
  pages={590–597}
}
BACKGROUND Despite the proven effectiveness of the 595‐nm pulsed dye laser (PDL) in treating superficial infantile hemangiomas, many physicians are reluctant to treat such lesions involving the eyelid. OBJECTIVE To examine the safety and efficacy of the 595‐nm PDL for the treatment of superficial infantile hemangiomas of the eyelid. MATERIALS & METHODS Records were reviewed for patients with superficial infantile hemangiomas of the eyelid treated with 595‐nm PDL. Pre‐ and post‐treatment… 
Superficial Hemangioma: Pulsed Dye Laser Versus Wait‐and‐See
TLDR
Pulsed dye laser is only to be considered as an alternative treatment up to the age of 6 months, at which time parents and physicians consider cosmetic outcome to be a relevant factor, but laser therapy plays a major role in the treatment of residual lesions at older ages.
Pulsed dye laser therapy for infantile hemangiomas: a systemic review and meta-analysis.
TLDR
PDL may be the effective modality to decrease the proliferative phase and accelerate rates of involution and resolution with few adverse events.
Effect of Early Long‐Pulse Pulsed Dye Laser Treatment in Infantile Hemangiomas
  • Soon-Hyo Kwon, J. Choi, +5 authors J. Na
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2014
TLDR
Early intervention in hemangiomas using LP‐PDL successfully prevents further growth and accelerates a transition to plateau or involution phase with minimal adverse events, achieving good cosmetic outcomes.
Evaluation of the Use of Nd : YAG Laser in the Treatment of Infantile Hemangiomas
TLDR
Nd:YAG laser, is a superior method in the management of mixed and deep infantile hemangiomas, results in higher rates of clearance, however epidermal cooling is essential to improve cosmetic results and reduce the adverse events and the number of sessions required for treatment.
Timing and Efficacy of 595-nm Pulsed-Dye Laser Combined with 0.5% Timolol Maleate Solution in the Treatment of Superficial Infantile Hemangiomas
TLDR
It is demonstrated that 595-nm PDL combined with 0.5% timolol maleate solution was a safe and effective local treatment for superficial IH.
Superficial hemangioma is better treated by topical 5-aminolevulinic followed by 595-nm pulsed dye laser therapy rather than 595-nm laser therapy alone
TLDR
The clinical outcome of 5-ALA PDL was superior to that of PDL alone in the treatment of SH and only minor adverse events occurred in each group.
Commentary: Early Laser Treatment of Periorbital Infantile Hemangiomas May Work, but Is It Really the Best Treatment Option?
  • I. Frieden
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2010
TLDR
It would be a mistake for readers to take away the message from this article that PDL is the best management for most infants with proliferating IH involving the periorbital skin (or other anatomic sites for that matter).
Novel Combination Topical Timolol and Pulsed Dye Laser Therapy for Early Effective Safe Treatment of Infantile Hemangiomas
TLDR
Early first-line topical timolol treatment for superficial IH combined with 595 nm PDL when indicated seems safe, simple, and appears to promote fast complete regression with high patient satisfaction making it a good active non-surgical treatment option as opposed to passive waiting.
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