Excimer Laser Vitiligo Protocol

This wavelength is 308nm within the nbuvb spectrum and this seems to be the right wavelength to treat vitiligo.

Excimer laser vitiligo protocol.

The excimer laser has been used successfully in patients with aa. The excimer laser system is light years ahead of other vitiligo treatments. Therefore if the patient s schedule allows i recommend starting at 3x weekly for the first 3 months and then decreasing to 2x weekly thereafter. Least effective on hands and feet.

Works best on the face. The excimer laser is effective in adults and children with vitiligo in all skin types as monotherapy or in combination with other established vitiligo therapeutics. Excimer laser treatment is highly effective in psoriasis another t cell mediated disorder that shares many immunologic features with aa. Effective for many patients.

Vitiligo nbuvb treatment protocol excimer laser. Vitiligo excimer laser 3 and psoriasis nbuvb 4 3x weekly produced faster results than 2x weekly however eventually the two schedules resulted in equivalent efficacy. Xtrac is also endorsed by the national psoriasis foundation and the technology is part of the approved clinical protocols recommended by the american academy of dermatology. Lasers are used to treat a small area.

However as it is an advanced treatment procedure which involves the use of advanced laser equipment. The medical personnel performing the treatment have to be trained and experienced. Excimer laser vitiligo is a painless treatment procedure that has a great effect in reducing the symptoms of vitiligo with minimal side effects. At first we used a fraxel herbium laser valseriana herbium laser with a wavelength of 1540 nm and high energy level of 1800 mj p.

Using a carefully focused beam of laser light delivered through a sophisticated fiber optic delivery system the excimer system is designed to repigment unsightly lighter skin tones. The excimer laser is similar a similar approach to treatment as narrow band uvb but delivers a single wavelength of light which is what lasers do. It is often combined with topical therapies to enhance response for instance topical calcineurin inhibitors and topical steroids. The excimer laser is superior in inducing t cell apoptosis in vitro compared with narrowband uvb with paralleled improved clinical efficacy.

Light boxes are used to treat widespread vitiligo. Patient may sit in a light box or receive excimer laser treatments. Excimer laser therapy is an option for the treatment of localised vitiligo and moderately severe localised psoriasis and unresponsive to topical treatments.