Excimer Laser Vitiligo Protocol

About 70 see results with an excimer laser.

Excimer laser vitiligo protocol.

Light boxes are used to treat widespread vitiligo. In this study we evaluated the treatment of 30 patient affected by a stable or active form of localised vitiligo with a new therapeutic protocol consisting of a 3 phases sequential treatment of skin lesions. The medical personnel performing the treatment have to be trained and experienced. Therefore if the patient s schedule allows i recommend starting at 3x weekly for the first 3 months and then decreasing to 2x weekly thereafter.

However as it is an advanced treatment procedure which involves the use of advanced laser equipment. The excimer laser has been used successfully in patients with aa. This wavelength is 308nm within the nbuvb spectrum and this seems to be the right wavelength to treat vitiligo. Using a carefully focused beam of laser light delivered through a sophisticated fiber optic delivery system the excimer system is designed to repigment unsightly lighter skin tones.

The excimer laser is similar a similar approach to treatment as narrow band uvb but delivers a single wavelength of light which is what lasers do. Xtrac is also endorsed by the national psoriasis foundation and the technology is part of the approved clinical protocols recommended by the american academy of dermatology. Least effective on hands and feet. It is often combined with topical therapies to enhance response for instance topical calcineurin inhibitors and topical steroids.

Excimer laser therapy is an option for the treatment of localised vitiligo and moderately severe localised psoriasis and unresponsive to topical treatments. Excimer laser vitiligo is a painless treatment procedure that has a great effect in reducing the symptoms of vitiligo with minimal side effects. Vitiligo excimer laser 3 and psoriasis nbuvb 4 3x weekly produced faster results than 2x weekly however eventually the two schedules resulted in equivalent efficacy. The excimer laser is superior in inducing t cell apoptosis in vitro compared with narrowband uvb with paralleled improved clinical efficacy.

Lasers are used to treat a small area. Patient may sit in a light box or receive excimer laser treatments. Effective for many patients. Vitiligo nbuvb treatment protocol excimer laser.

At first we used a fraxel herbium laser valseriana herbium laser with a wavelength of 1540 nm and high energy level of 1800 mj p. Excimer laser treatment is highly effective in psoriasis another t cell mediated disorder that shares many immunologic features with aa. Works best on the face.