Treatment of spider veins with the 595 nm pulsed-dye laser

Background: Previous attempts to treat spider veins with the conventional 585 nm pulsed-dye laser with a 0.5-ms pulse duration have been relatively ineffective. Recently, a new pulsed-dye laser that is tunable from 585 to 600 nm with a pulse duration 3 times longer than previously available lasers h...

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Veröffentlicht in:Journal of the American Academy of Dermatology 1998-11, Vol.39 (5), p.746-750
Hauptverfasser: Bernstein, Eric F., Lee, Jason, Lowery, Joe, Brown, Douglas B., Geronemus, Roy, Lask, Gary, Hsia, James
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container_end_page 750
container_issue 5
container_start_page 746
container_title Journal of the American Academy of Dermatology
container_volume 39
creator Bernstein, Eric F.
Lee, Jason
Lowery, Joe
Brown, Douglas B.
Geronemus, Roy
Lask, Gary
Hsia, James
description Background: Previous attempts to treat spider veins with the conventional 585 nm pulsed-dye laser with a 0.5-ms pulse duration have been relatively ineffective. Recently, a new pulsed-dye laser that is tunable from 585 to 600 nm with a pulse duration 3 times longer than previously available lasers has preliminarily been shown to be effective for treatment of spider veins. Objective: Our purpose was to evaluate the effectiveness of multiple treatments with the tunable long-pulse dye laser in treatment of spider veins of the lower extremity. Methods: Ten female volunteers were treated in two separate areas containing blue or red linear spider veins less than 1.5 mm in diameter. Treatments were administered with the pulsed-dye laser with a 1.5-ms pulse duration and 595-nm light at fluences of 15 and 20 J/cm 2, and each subject received a total of 3 treatments at each site, administered at 6-week intervals. Photographs were taken before and 6 weeks after the last treatment. Results: Computer-based image analysis showed clearing of more than three fourths of veins after 3 treatments with 15 or 20 J/cm 2. Side effects were minimal and the treatments were well tolerated. Conclusion: The 595 nm, 1.5 ms pulse duration, pulsed-dye laser is safe and effective for treating blue or red spider veins of the lower extremities less than 1.5 mm in diameter in nontanned patients with Fitzpatrick skin types I and II. Multiple treatments improve on the results obtained after a single treatment. (J Am Acad Dermatol 1998;39:746-50.)
doi_str_mv 10.1016/S0190-9622(98)70047-7
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Recently, a new pulsed-dye laser that is tunable from 585 to 600 nm with a pulse duration 3 times longer than previously available lasers has preliminarily been shown to be effective for treatment of spider veins. Objective: Our purpose was to evaluate the effectiveness of multiple treatments with the tunable long-pulse dye laser in treatment of spider veins of the lower extremity. Methods: Ten female volunteers were treated in two separate areas containing blue or red linear spider veins less than 1.5 mm in diameter. Treatments were administered with the pulsed-dye laser with a 1.5-ms pulse duration and 595-nm light at fluences of 15 and 20 J/cm 2, and each subject received a total of 3 treatments at each site, administered at 6-week intervals. Photographs were taken before and 6 weeks after the last treatment. Results: Computer-based image analysis showed clearing of more than three fourths of veins after 3 treatments with 15 or 20 J/cm 2. Side effects were minimal and the treatments were well tolerated. Conclusion: The 595 nm, 1.5 ms pulse duration, pulsed-dye laser is safe and effective for treating blue or red spider veins of the lower extremities less than 1.5 mm in diameter in nontanned patients with Fitzpatrick skin types I and II. Multiple treatments improve on the results obtained after a single treatment. 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Recently, a new pulsed-dye laser that is tunable from 585 to 600 nm with a pulse duration 3 times longer than previously available lasers has preliminarily been shown to be effective for treatment of spider veins. Objective: Our purpose was to evaluate the effectiveness of multiple treatments with the tunable long-pulse dye laser in treatment of spider veins of the lower extremity. Methods: Ten female volunteers were treated in two separate areas containing blue or red linear spider veins less than 1.5 mm in diameter. Treatments were administered with the pulsed-dye laser with a 1.5-ms pulse duration and 595-nm light at fluences of 15 and 20 J/cm 2, and each subject received a total of 3 treatments at each site, administered at 6-week intervals. Photographs were taken before and 6 weeks after the last treatment. Results: Computer-based image analysis showed clearing of more than three fourths of veins after 3 treatments with 15 or 20 J/cm 2. Side effects were minimal and the treatments were well tolerated. Conclusion: The 595 nm, 1.5 ms pulse duration, pulsed-dye laser is safe and effective for treating blue or red spider veins of the lower extremities less than 1.5 mm in diameter in nontanned patients with Fitzpatrick skin types I and II. Multiple treatments improve on the results obtained after a single treatment. 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Side effects were minimal and the treatments were well tolerated. Conclusion: The 595 nm, 1.5 ms pulse duration, pulsed-dye laser is safe and effective for treating blue or red spider veins of the lower extremities less than 1.5 mm in diameter in nontanned patients with Fitzpatrick skin types I and II. Multiple treatments improve on the results obtained after a single treatment. (J Am Acad Dermatol 1998;39:746-50.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9810891</pmid><doi>10.1016/S0190-9622(98)70047-7</doi><tpages>5</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Dermatology
Edema - etiology
Evaluation Studies as Topic
Female
Humans
Hyperpigmentation - etiology
Hypopigmentation - etiology
Image Processing, Computer-Assisted
Laser Coagulation - adverse effects
Laser Coagulation - methods
Leg - blood supply
Medical sciences
Middle Aged
Pain, Postoperative - etiology
Purpura - etiology
Safety
Telangiectasis - pathology
Telangiectasis - surgery
Time Factors
Vascular disorders of the skin
Veins - pathology
title Treatment of spider veins with the 595 nm pulsed-dye laser
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