Treatment of Essential Telangiectasias with an Intense Pulsed Light Source (PhotoDerm VL)

Abstract

The PhotoDerm VL is an innovative, highly effective, and comparably safe therapeutic alternative to the laser in the treatment of ETE. The rate of cosmetically relevant side effects is considerably smaller, the patient compliance is excellent, and the method can be applied easily in an outpatient setting.

Treatment of venous malformations with an intense pulsed light source (IPLS) technology: A retrospective study

“…Thus, venous malformations or cavernous hemangioma can be treated effectively by additional heating [40][41][42]. This split light application ensures adequate cooling of the epidermis and dermis between the flashes.…”

“…This new device utilizes light beams that may be varied in terms of wavelength, pulse duration, and fluence. Thus vascular lesions of vari-ous depth and size (e.g., Spider nevi, telangiectasia, port wine stains, poikiloderma of Civatte) and hypertrichosis can be treated effectively [16][17][18][19][20][21][22][23][24]. Benign venous malformations seem to be a further interesting indication for the IPLS because of their deep seated, large vessels and cavernous structures.…”

Treatment of Port-wine Stains With a Noncoherent Pulsed Light Source

“…17,18 The IPLS providing pulse durations up to 50 milliseconds enables delivery of laser energy to vessels over longer periods of time, resulting in either gentle, uniform heating or even coagulation across the entire vessel, while reducing vessel rupture and its associated purpura and hyperpigmentation. 24,27,37,42,43 Therefore, IPLS can be seen as an additional mode of PWS therapy, particularly for dark and hypertrophic lesions. 26 It has been shown in a case report that FLPDL-resistant PWSs showed notable improvement following a single IPLS treatment.…”

“…Thus, larger and deeper vessels, such as in hypertrophic PWSs or venous malformations, which require higher fluences to reach sufficient coagulation, can be treated effectively by additive heating. 27,44 The epidermis and smaller vessels cool down during the long delay between pulses (10-500 milliseconds) without reaching coagulation temperatures or causing necrosis. 24 The ability to deliver multiple pulses to treat vascular lesions may have theoretical support since Dierickx et al 23 were able to achieve multiple-pulse photocoagulation of blood vessels using lower fluences.…”

Cutaneous Collagenous Vasculopathy: A Rare Form of Microangiopathy Successfully Treated with a Combination of Multiplex Laser and Optimized Pulsed Light with a Review of the Literature

“…Our OPL, due to its large spot size (10 × 30 mm) allowed speed, comfort and also very good cosmetic results in treating large areas when compared with a laser with a small spot size (7-10 mm). A few cases of essential telangiectasias have been published using an intense pulsed light [17,18,19,20]. To our knowledge, our case is the first describing a case of CCV successfully treated with an OPL combined with a Multiplex laser within the same session.…”