Super pulse CO₂ laser therapy for benign eyelid tumors

Abstract

The super pulse CO laser therapy of the benign eyelid tumors provided satisfactory cosmetic results in this study. It is a convenient, cheap, accessible, and well-tolerated alternative to traditional surgery, especially for diffuse tumors, or those positioned close to the lacrimal papillae.

Evaluation of Meibomian Gland Function after Therapy of Eyelid Tumors at Palpebral Margin with Super Pulse CO2 Laser

“…Consistent with our previous reports, this study also identified the good clinical response of super pulse CO 2 laser in excision of eyelid benign tumors without any recurrence in the follow-up period [ 1 , 13 ]. Here, the original contribution was to further investigate the potential effects of super pulse CO 2 laser on the meibomian gland.…”

“…Comparing with other laser therapy, super pulse CO 2 lasers enables hemorrhage-free noncontact incisional excision and that producing superior tissue contraction and hemostasis, especially in the deeper lesion removal [ 2 ]. For tumors with special location such as palpebral margins, CO 2 laser surgery keeps the margins in their anatomical position so that entropion or ectropion is not to be reckoned with, showing advantageous in preserving patients' appearance with complete morphology of palpebral margin [ 1 , 5 , 13 ].…”

“…Although CO 2 laser therapy exhibits more thermal necrosis and slower wound healing times that would be accompanied by the longer inflammatory reaction [ 12 ], the satisfactory therapeutic and cosmetic results with reduced complications and recurrence rate were confirmed by numerous studies in eyelid benign lesions [ 1 , 4 , 5 , 14 – 17 ].…”

“…However, specific surgical difficulties and complications such as eyelid deformity and scar formation following surgery should be considered in tumors located at palpebral margin. Laser therapy, for instance, carbon dioxide with infrared source (CO 2 , 10600 nm) [ 1 ], erbium yttrium aluminum garnet laser (Er:YAG, 2790–2940 nm) [ 2 ], and argon laser (Ar, 488–514 nm) [ 3 ] has been widely used and demonstrated superior to traditional surgery in the treatment of eyelid tumor for the shorter operation time, less pain, no bleeding, mild postoperative reaction, no scar, satisfactory healing result, and good acceptable by patients. The application of CO 2 laser in a super pulse model has been proved effectively and predominantly in the treatment of eyelid benign tumors for the shortened exposure time and reduced thermal damage [ 1 , 4 – 6 ].…”

Advances in the management of eyelid tumors

“…Carbon Dioxide pulse laser: Super pulse CO2 laser of 10600 nm wavelength cause tissue photo ablation allowing for simultaneous cutting and hemostasis has become an effective and well tolerated therapeutic method for benign eyelid tumors. 3 In orbital plexiform neurofibromatosis, CO2 laser ablation gives better hemostasis and prevents the loss of natural tissue planes from the tumor's diffuse mode of growth. 4…”