| Popis: |
Purpose The aim of the study was to evaluate the aesthetic results, patient's satisfaction, and significant complications, such as scarring, depigmentation, and recurrence, of laser therapy of xanthelasma. Patients and methods A prospective study during 1-year period was performed to evaluate the objective clinical results after argon laser photocoagulation of xanthelasma palpebrarum treated by a slit-lamp-mounted argon laser under local anesthesia. The study included 36 lesions of 16 patients (28 upper lids, eight lower lids). Results The average follow-up was 1 year. The average age was 35 years. The therapy was tolerated very well by all patients. All treated lesions responded to the therapy; after 2 weeks the xanthelasmas had decreased in size or disappeared. The cosmetic outcome was assessed as good or very good in 28 lesions, whereas eight showed residual lesions. Eight lesions were treated twice. Nine lesions of the 36 with a follow-up longer than 6 months developed a recurrence. One patient was lost for follow-up. Neither intraoperative and postoperative complications, nor functionally significant scar developed. Conclusion Argon laser photocoagulation of xanthelasma palpebrarum is an effective method to treat xanthelasma lesions either in the upper or lower eyelids. The technique described represents an alternative treatment for xanthelasmas, which is easy to perform, has shown good results without complications, and is aesthetically accepted very well by all patients. |
