Chen David L, Cohen Joel L
J Drugs Dermatol. 2015 Nov;14(11):1360-2.
Periorbital veins (POVs) are a common cosmetic concern. Anatomically, POVs are formed by superficial facial veins that start from the bridge of the nose, travel as supraorbital and infraorbital veins, and join venous branches from the lateral forehead and scalp. In patients with fair skin, or in patients whose facial skin is atrophied, POVs can become prominent. This can lead to a fatigued appearance, with perceived "dark circles" around the patients' eyes. Previously described surgical therapies for prominent POVs are invasive and can leave unsightly scars, and sclerotherapy has been reported to lead to embolization that could lead to blindness. Here, we give examples of the use of 1,064 nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser to non-invasively treat or at least minimize prominent POVs. We discuss various techniques, and review treatment schedules to achieve the optimal cosmetic outcome. Furthermore, potential pitfalls, such as local site reaction and laser-specific tissue damage, are explored. Overall, Nd:YAG laser does appear to be a safe and effective treatment for POVs that requires minimal post-treatment care.
眶周静脉（POV）是常见的美容问题。从解剖学上讲，眶周静脉由起始于鼻梁的面部浅静脉形成，这些浅静脉以眶上静脉和眶下静脉的形式走行，并与来自前额外侧和头皮的静脉分支汇合。在皮肤白皙的患者或面部皮肤萎缩的患者中，眶周静脉可能会变得明显。这会导致面容疲惫，患者眼睛周围出现所谓的“黑眼圈”。先前描述的针对明显眶周静脉问题的手术治疗具有侵入性，会留下难看的疤痕，而且据报道硬化疗法会导致栓塞，进而可能导致失明。在此，我们给出使用1064纳米掺钕钇铝石榴石（Nd:YAG）激光非侵入性治疗或至少减轻明显眶周静脉问题的实例。我们讨论各种技术，并回顾治疗方案以实现最佳美容效果。此外，还探讨了潜在的陷阱，如局部部位反应和特定激光导致的组织损伤。总体而言，Nd:YAG激光似乎确实是一种治疗眶周静脉问题的安全有效方法，且术后护理需求极少。
