Treatment of Superficial Telangiectasia

Running head: 1064NM ND:YAG LASER TREATMENT
1064NM ND:YAG LASER TREATMENT
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11064NM ND:YAG LASER TREATMENT
Treatment of Superficial Telangiectasia with 1064nm Nd:Yag Laser:
Evidence:
There are many studies that focused on determining the efficacy and safety of using
the 1064 nm nd:YAG laser in treating the superficial telangiectasia at different parts of the
body.
o The first study was focused on finding out the efficacy and safety of this laser
treatment to treat the telangiectasia conditions in the face and the legs. The
study had involved a total of 57 patients, who received this treatment. Among
them, twenty five patients had the facial telangiectasia condition and the others
received the same treatment for their leg telangiectasia conditions. The study
found that there was a significant improvement in the leg telangiectasia
condition in the patients after 3-5 treatments and there was even more
significant improvement in the case of facial telangiectasia after only a single
treatment (Major et al., 2001).
o The second study was conducted in Korea and it focused on the treatment of
various vascular disorders. The authors of this study also aimed for
determining the efficacy and safety of this particular laser therapy. There was
a total of 14 patients, who participated in this study. The side effects were
measured by examining the cosmic outcomes on the standardized photographs
along with examining the patient outcome. The study found that about 71.4%
patients were satisfied with the results and there were also minimal side effects
(Oh, Kim, Ro & Ko, 2015).

21064NM ND:YAG LASER TREATMENT
o There was another study that focused on examining the experience of this
treatment in the patients with superficial cutaneous vascular lesions. The study
duration was 3 years and it involved about 255 patients. The patients were
suffering from leg telangiectasia, facial telangiectasia and spider angioma
conditions. The study concluded that even though it is not the first choice of
treatment for all those conditions, it can be considered as safe and effective
enough (Ozyurt, Colgecen, Baykan, Ozturk & Ozkose, 2012).
Synthesizing Findings:
Hence, from all the evidence found above, it can be decided that the laser therapy,
known as nd:yag laser therapy can be considered as a safe and effective method to treat
various telangiectasia condition. It is a fast-acting method that invites the patient satisfaction.
However, it has some side effects, for which it is not the first choice of therapy for treating
those conditions.
Mechanism of Action of Nd:Yag Laser for Treating Superficial
Telangiectasia:
Evidence:
o The first study to consider here was focused on describing the mechanism of action of
the laser dermatology in the treatment of cutaneous pigmented and vascular lesions.
The study described that the vascular lesions are treated by using KTP (532 nm),
pulsed dye (585-595 nm) and the Nd:YAG (1064 nm) laser therapy. However the
pigmented lesions can be treated with a wide variety of laser treatments. The study
also described that the laser therapies target the specific chromophores on the skin.
The safety of the treatment derives from the fact that the therapy involves minimum
damage to the surrounding tissues (Goldberg, 2006).

31064NM ND:YAG LASER TREATMENT
o The next study explored various laser therapies for treating the spider veins for the
superficial telangiectasia condition. The study explained the mechanism of action of
the laser therapy. The laser therapy converts the light into heat energy, which is able
to cause destruction to the collagen proteins. The target for the treatment of the spider
veins is the vein walls and the oxyhaemoglobin of the targeted chromophore in
superficial red vessels. Those chromophores absorb green light very effectively along
with blue and yellow light. The 1064 nm nd:Yag laser treatment uses green light to
treat those conditions in the patients (Falto-Aizpurua, Arora & Weiss, 2014).
o The third study was focused on discussing three case studies that involved a treatment
with Magma Long Pulse ND laser 1064 nm. The study discussed the mechanism of
action of this treatment in its introduction section. It was stated that the mechanism of
action is known as selective photothermolysis. A selective chromophore is targeted by
a specific wavelength of light, which causes the denaturation of the haemoglobin at a
particular area, without any significant harm to the surrounding tissues (Krieger,
2016).
Synthesizing Findings:
Hence it can be decided from the above evidence that the 1064 nm nd:Yag laser uses
photothermolysis method to destroy the pigmented haemoglobin of a specific area by causing
the protein denaturation. There is only the least damage to the surrounding tissues and the
cells due to the fact that it is a specific wavelength of light, which is absorbed by the specific
chromophores only.

41064NM ND:YAG LASER TREATMENT
References:
Falto-Aizpurua, L. A., Arora, H., & Weiss, R. A. (2014). Laser treatment for spider veins.
In Handbook of Lasers in Dermatology (pp. 77-93). Springer, London.
https://link.springer.com/chapter/10.1007/978-1-4471-5322-1_7
Goldberg, D. J. (2006). Laser removal of pigmented and vascular lesions. Journal of
cosmetic dermatology, 5(3), 204-209. https://doi.org/10.1111/j.1473-
2165.2006.00252.x
Krieger, E. Treatment of Leg Telangiectasia (Spider Veins) with Magma Long Pulse ND-
Laser 1064 nm–Case Study. (2016)
https://forma-tk.com/wp-content/uploads/2019/09/Clinical-study-Treatment-of-leg-
telangiectasia-w-Magma-system-2016-12-28-p.pdf
Major, A., Brazzini, B., Campolmi, P., Bonan, P., Mavilia, L., Ghersetich, I., ... & Lotti, T.
(2001). Nd: YAG 1064 nm laser in the treatment of facial and leg
telangiectasias. Journal of the European Academy of Dermatology and
Venereology, 15(6), 559-565. https://doi.org/10.1046/j.1468-3083.2001.00354.x
Oh, E. H., Kim, J. E., Ro, Y. S., & Ko, J. Y. (2015). A 1064 nm Long-Pulsed Nd: YAG Laser
for Treatment of Diverse Vascular Disease. medical lasers, 4(1).
http://dx.doi.org/10.25289/ML.2015.4.1.20
Ozyurt, K., Colgecen, E., Baykan, H., Ozturk, P., & Ozkose, M. (2012). Treatment of
superficial cutaneous vascular lesions: experience with the long-pulsed 1064 nm Nd:
YAG laser. The Scientific World Journal, 2012. https://doi.org/10.1100/2012/197139