Ponomarev Igor Vladimirovich, Topchiy Sergey B, Andrusenko Yury N, Shakina Lyudmila D
P.N. Lebedev Physical Institute of the Russian Academy of Sciences, 53, Leninskiy Prospect, Moscow, 119991, Russian Federation.
Clinic of Aesthetic Medicine, Head of the Laser Department of the Health Institute, Kharkiv, 61000, Ukraine.
J Lasers Med Sci. 2021 Jun 9;12:e23. doi: 10.34172/jlms.2021.23. eCollection 2021.
Surgical methods for removing eyelid nevus are associated with a risk of developing such side effects as scarring or loss of eyelashes. Although current laser modalities have shown promising results, eyelid laser surgery may cause skin discoloration and noticeable scarring. This study aims at evaluating the efficacy and safety of the dual-wavelengths copper vapor laser (CVL) treatment of eyelid intradermal nevus of Miescher (NM). We present three adult female patients with eyelid intradermal nevus treated with CVL. CVL settings were as follows: the average power of 0.6-0.8 W, under a power ratio of 3:2 at wavelengths of 511 nm and 578 nm, exposure time of 0.3 seconds, the light spot diameter of 1 mm. The dual-wavelength CVL treatment of medium- and large-sized NM provides the complete removal of eyelid dome-like NM after one and two sessions with a month interval correspondingly. The duration of skin healing accounted for two weeks. The complete removal of eyelid NM lesions without side effects demonstrates the safety and efficacy of dual-wavelengths CVL in treating such skin lesions. This laser treatment mode of benign skin neoplasms seems promising for dermatologists and cosmetologists' clinical practice.
切除眼睑痣的手术方法存在出现诸如瘢痕形成或睫毛脱落等副作用的风险。尽管目前的激光治疗方式已显示出有前景的结果，但眼睑激光手术可能会导致皮肤色素沉着和明显的瘢痕形成。本研究旨在评估双波长铜蒸气激光（CVL）治疗眼睑米舍尔真皮内痣（NM）的疗效和安全性。我们展示了3例接受CVL治疗的成年女性眼睑真皮内痣患者。CVL设置如下：平均功率0.6 - 0.8W，波长511nm和578nm时功率比为3:2，曝光时间0.3秒，光斑直径1mm。双波长CVL治疗中大型NM，分别在间隔一个月的一次和两次治疗后可完全去除眼睑穹顶状NM。皮肤愈合时间为两周。完全去除眼睑NM病变且无副作用证明了双波长CVL治疗此类皮肤病变的安全性和有效性。这种针对良性皮肤肿瘤的激光治疗模式对皮肤科医生和美容医生的临床实践似乎很有前景。
