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106840

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

Article

Last updated: 04 Jan 2025

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-

Tags

Ophthalmology

Abstract

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.

DOI

10.21608/ijma.2020.106840

Keywords

Xanthelasma Palpebrarum, argon laser, Ultrasound Biomicrscopy, Xanthomas, Eyelid

Authors

First Name

Essam

Last Name

Mohamed

MiddleName

Khalaf

Affiliation

Ophthalmology Department, Police Hospital, Ministry of Interior, Egypt

Email

ekhalaf@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Amin

MiddleName

Mahmoud

Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University, Egypt

Email

ophth.ahmedamin@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abou El-Enin

MiddleName

Abdel Hamid

Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University, Egypt

Email

m.aboelnin@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-06-07

Publish Date

2020-10-01

Page Start

763

Page End

769

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 763-769.pdf

PDF . 2.3MB

Link

https://ijma.journals.ekb.eg/article_106840.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=106840

Order

13

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023