Venous malformation of the eyelid treated with pulsed-dye-1064-nm neodymium yttrium aluminum garnet sequential laser: an effective and safe treatment.
Venous malformations of the skin and subcutaneous tissue are compressible, blue-purple tumors that are present at birth. According to the location and symptoms caused, venous malformations can be treated with surgery, sclerotherapy, or a combination of both. Laser therapy can also be used, especially when surgery is contraindicated. We report the case of a 24-year-old man who presented with a venous malformation on the upper and lower left eyelids, which provoked a mechanical ptosis. Treatment with sequential pulsed-dye neodymium yttrium aluminum garnet (PDL-Nd:YAG) laser was performed. After 2 treatments, a marked reduction of volume and blanching of the venous malformation was observed, with satisfactory cosmetic results. The sequential PDL-Nd:YAG laser seems to be an effective and safe therapy for the treatment of cutaneous venous malformations. It penetrates deeper than pulsed-dye laser alone, and because it allows the use of lower fluencies than Nd:YAG laser alone, it reduces the risk of adverse effects.
Bagazgoitia
Lorea
L
Department of Dermatology, Hospital Ramón y Cajal, Madrid, Universidad de Alcalá de Henares, Spain. lorea_b@yahoo.com
Boixeda
Pablo
P
Lopez-Caballero
Cristina
C
Beà
Sònia
S
Santiago
Juan Luis
JL
Jaén
Pedro
P
D001783:Blood Flow Velocity / Q000528:radiation effects; D005143:Eyelids / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D028022:Low-Level Light Therapy / Q000379:methods*; D008297:Male; D018608:Ultrasonography, Doppler; D054079:Vascular Malformations / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000532:radiotherapy*; D014680:Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D055815:Young Adult