Nemet Arie Y, Solomon-Cohen Efrat, Aronovich Anna, Nemet Malachy, Hilewitz Daniel, Nemet Achia, Baruch Kaplan, Akerman Lehavit
Department of Ophthalmology, Meir Medical Center, 59 Tshernichovsky St., 4428164, Kfar Saba, Israel.
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Lasers Med Sci. 2024 Dec 18;39(1):299. doi: 10.1007/s10103-024-04061-8.
To determine in which cases ablative radiofrequency microplasma is preferred for the treatment of lateral dermatochalasis over a surgical approach as well as discussing each method's benefits and limitations. Twenty-one patients underwent 3 interventions of plasma exeresis. Photographic and RCM images were acquired at baseline and 4 weeks after final plasma exeresis. The eyes were categorized into 3 groups based on the dermatochalasis severity (1- mild, 2- moderate, 3- severe). Additionally, a further division was conducted to assess the degree of enhancement observed after the treatment (1- slight improvement, 2- moderate improvement, 3- significant improvement). The classifications and assessments were performed by was graded by two trained dermatologists as blinded observers. A total of 21 eyes with a mean age of 54 years (range45-67 years) and 100% females were included in this study. The severity of dermatochalasis directly affects the clinical improvement (P=0.039) and the higher the severity, the more the improvement (R = -0.62). Noninvasive ablative microplasma may offer safe and effective therapy for upper eyelid dermatochalasis and can even be performed in patients at surgical risk. However, it may be suitable for grades 0 and 1 of DC. For more advanced grades a surgical solution achieves better results for the treatment of dermatochalasis of the upper eyelid.
确定在哪些情况下，与手术方法相比，消融性射频微等离子体更适合治疗外侧皮肤松弛症，并讨论每种方法的益处和局限性。21例患者接受了3次等离子体切除术干预。在基线和最后一次等离子体切除术后4周采集照片和反射式共聚焦显微镜（RCM）图像。根据皮肤松弛症的严重程度将眼睛分为3组（1-轻度，2-中度，3-重度）。此外，进行了进一步划分以评估治疗后观察到的改善程度（1-轻微改善，2-中度改善，3-显著改善）。分类和评估由两名经过培训的皮肤科医生作为盲法观察者进行分级。本研究共纳入21只眼睛，平均年龄54岁（范围45-67岁），均为女性。皮肤松弛症的严重程度直接影响临床改善情况（P=0.039），严重程度越高，改善越明显（R=-0.62）。非侵入性消融性微等离子体可为上睑皮肤松弛症提供安全有效的治疗，甚至可用于有手术风险的患者。然而，它可能适用于皮肤松弛症0级和1级。对于更严重的级别，手术解决方案对上睑皮肤松弛症的治疗效果更好。
