Comparative Efficacy of Nonpurpuragenic Pulsed Dye Laser and Intense Pulsed Light for Erythematotelangiectatic Rosacea

Abstract

A series of nonpurpuragenic PDL and IPL treatments in ET rosacea was performed with similar efficacy and safety, and both modalities seem to be reasonable choices for the treatment of ET rosacea.

Treatment of rosacea with long-pulsed Nd: YAG laser

“…Lazer tedavisinin etkinliğinin objektif olarak değerlendirilmesi için kan akımlarının ölçüldüğü bir çalışmada ise IPL tedavisinin kan akımında %30 azalmaya neden olduğu ve bu sonucun rozase lezyonlarında etkili bir tedavi yöntemi olduğu yorumu yapılmıştır. Rozase tedavisinde PDL ve IPL etkinliğinin karşılaştırıldığı bir çalışmada ise her iki tedavi arasında anlamlı bir fark görülmemiştir [21][22][23][24][25] . Frekansı katlanmış Nd:YAG lazer sistemi olan KTP (532nm), yüzeyel yerleşimli vasküler lezyonların tedavisinde sıklıkla tercih edilmektedir.…”

The Comparison of the Efficacy and Safety of Q-Switched Potassium Titanyl Phosphate Laser and Long-Pulsed Neodymium-Doped Yttrium Aluminum Garnet Laser in the Treatment of Erythematotelangiectatic and Papulopustular Rosacea

“…Vascular instability and passive vascular dilatation cause ETR, leakage of fluid and inflammatory mediators into the dermis leading to PPR (9). Laser application is considered beneficial for the treatment of pathogenetic pathways of rosacea in several ways such as through the destruction of small vessels, ablation of vascular anomalies, reorganization, remodeling of dystrophic dermal connective tissue, and interruption of the release of inflammatory mediators (10).…”

Update on the Management of Rosacea

“…When used appropriately, IPL appears to provide impressive results in various settings with a relatively negligible side effect profile. [97][98][99][100][101][102][103][104][105][106][107][108][109][110][111] Early on, Angermeier demonstrated 75%−100% clearance after one or two treatments in 174 of 188 patients with vascular lesions at a 2-month follow-up. 99 Soon after, these same results were confirmed in a study specific to rosacea only.…”

“…[87][88][89] PDL has been shown to improve both the clinical findings of rosacea (erythema, telangiectasia) as well as the associated symptoms. [87][88][89][90][91][92][93][94][95][96][97]107,117 In one study, after verifying sensitivity with a provocative lactic acid test, 32 patients with rosacea were treated with one session of 585 nm PDL. 93 Thirty-one patients who were stinger positive before treatment showed decreased scores after treatment, and one patient had the same stinger test score before and after treatment.…”