Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy

Background: Xanthelasma palpebrarum [XP] is the most common of the xanthomas with asymptomatic, symmetrical, bilateral, soft, yellow, polygonal papules around the eyelids. The surgical laser offers an extremely elegant and powerful solution to this problem. Aim of the work:To evaluate the efficacy...

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Autores principales:	Essam Mohamed, Ahmed Amin, Mohamed Abou El-Enin
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	xanthelasma palpebrarum argon laser ultrasound biomicrscopy xanthomas eyelid Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/38c845b435d54f0981a559a26140f154
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spelling	oai:doaj.org-article:38c845b435d54f0981a559a26140f1542021-12-02T14:02:00ZEvaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy2636-41742682-378010.21608/ijma.2020.106840https://doaj.org/article/38c845b435d54f0981a559a26140f1542020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_106840_7469ba4d85092ea6a31125c777a05cbb.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Xanthelasma palpebrarum [XP] is the most common of the xanthomas with asymptomatic, symmetrical, bilateral, soft, yellow, polygonal papules around the eyelids. The surgical laser offers an extremely elegant and powerful solution to this problem. Aim of the work:To evaluate the efficacy of Argon Laser in treatment of xanthelasma palpebrarum, based on ultrasound biomicroscopy [UBM]. Preoperatively, full history and clinical examination had been carried out. Patients and Methods: The study included 45 eyelids of 27 patients [13 males and 14 females] presenting with xanthelasma lesion. They underwent single session treatment of XP by Argon Laser, which had been performed on an outpatient basis. Postoperative UBM had been used to ensure eradication of the lesion. Follow up of the patient every 2 weeks in the first month then after 6 months]. Results: The UBM was successfully used preoperatively to determine the maximal lesion thickness that can be effectively safely eradicated in only single session. The therapy was well tolerated, and all lesions responded to the therapy in only single session. There were no functional or relevant aesthetic complications. The cosmetic outcome was considered to be excellent in 80% and good in 6.7%of the cases. The study included 45 eyelids, 36 [80.0%] of them had excellent, 3 [6.7%] had good, 2 [4.4%] had satisfactory and only 4[8.9%] patients had poor cosmetic outcome. There were no recorded recurrent cases [0.0%] in the present study. Conclusion: Argon laser photocoagulation [single session] represents an alternative treatment in selected cases. It is easy to be performed well tolerated by the patients. In addition, UBM was important to determine the maximal lesion thickness that can be eradicated safely in only one session.Essam MohamedAhmed AminMohamed Abou El-EninAl-Azhar University, Faculty of Medicine (Damietta)articlexanthelasma palpebrarumargon laserultrasound biomicrscopyxanthomaseyelidMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 763-769 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	xanthelasma palpebrarum argon laser ultrasound biomicrscopy xanthomas eyelid Medicine (General) R5-920
spellingShingle	xanthelasma palpebrarum argon laser ultrasound biomicrscopy xanthomas eyelid Medicine (General) R5-920 Essam Mohamed Ahmed Amin Mohamed Abou El-Enin Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy
description	Background: Xanthelasma palpebrarum [XP] is the most common of the xanthomas with asymptomatic, symmetrical, bilateral, soft, yellow, polygonal papules around the eyelids. The surgical laser offers an extremely elegant and powerful solution to this problem. Aim of the work:To evaluate the efficacy of Argon Laser in treatment of xanthelasma palpebrarum, based on ultrasound biomicroscopy [UBM]. Preoperatively, full history and clinical examination had been carried out. Patients and Methods: The study included 45 eyelids of 27 patients [13 males and 14 females] presenting with xanthelasma lesion. They underwent single session treatment of XP by Argon Laser, which had been performed on an outpatient basis. Postoperative UBM had been used to ensure eradication of the lesion. Follow up of the patient every 2 weeks in the first month then after 6 months]. Results: The UBM was successfully used preoperatively to determine the maximal lesion thickness that can be effectively safely eradicated in only single session. The therapy was well tolerated, and all lesions responded to the therapy in only single session. There were no functional or relevant aesthetic complications. The cosmetic outcome was considered to be excellent in 80% and good in 6.7%of the cases. The study included 45 eyelids, 36 [80.0%] of them had excellent, 3 [6.7%] had good, 2 [4.4%] had satisfactory and only 4[8.9%] patients had poor cosmetic outcome. There were no recorded recurrent cases [0.0%] in the present study. Conclusion: Argon laser photocoagulation [single session] represents an alternative treatment in selected cases. It is easy to be performed well tolerated by the patients. In addition, UBM was important to determine the maximal lesion thickness that can be eradicated safely in only one session.
format	article
author	Essam Mohamed Ahmed Amin Mohamed Abou El-Enin
author_facet	Essam Mohamed Ahmed Amin Mohamed Abou El-Enin
author_sort	Essam Mohamed
title	Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy
title_short	Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy
title_full	Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy
title_fullStr	Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy
title_full_unstemmed	Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy
title_sort	evaluation of the efficacy of argon laser in treatment of xanthelasma palpebrarum using ultrasound biomicroscopy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/38c845b435d54f0981a559a26140f154
work_keys_str_mv	AT essammohamed evaluationoftheefficacyofargonlaserintreatmentofxanthelasmapalpebrarumusingultrasoundbiomicroscopy AT ahmedamin evaluationoftheefficacyofargonlaserintreatmentofxanthelasmapalpebrarumusingultrasoundbiomicroscopy AT mohamedabouelenin evaluationoftheefficacyofargonlaserintreatmentofxanthelasmapalpebrarumusingultrasoundbiomicroscopy
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Evaluation of The Efficacy of Argon Laser in Treatment of Xanthelasma Palpebrarum using Ultrasound Biomicroscopy

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