-
Indian Journal of Dermatology 2024Psoriasis is a chronic inflammatory skin condition affecting millions of individuals worldwide. Over the years, various treatment modalities have been explored to...
Psoriasis is a chronic inflammatory skin condition affecting millions of individuals worldwide. Over the years, various treatment modalities have been explored to alleviate the symptoms and improve the quality of life for patients with psoriasis. Among these treatment options, lasers and lights have emerged as promising non-invasive approaches with significant efficacy. This review aims to provide an overview of the current understanding and clinical applications of lasers and lights in the management of psoriasis. We have discussed the mechanisms of action behind different laser and light therapies and their impact on psoriatic plaques. Additionally, we discuss the various types of lasers and lights utilized, including excimer lasers, pulsed dye lasers, and narrowband ultraviolet B (NB-UVB) phototherapy, highlighting their unique properties and clinical outcomes. Moreover, we have addressed important considerations related to patient selection, treatment protocols, and potential side effects associated with lasers and lights. We emphasize the need for proper evaluation, monitoring, and customization of treatment plans to ensure optimal outcomes and minimize adverse events.
PubMed: 38841222
DOI: 10.4103/ijd.ijd_423_23 -
Expert Review of Clinical Immunology 2023Phototherapy has been one of the first and still frequently used treatment modality for psoriasis. In the last decades, different types of lasers have been used for the...
INTRODUCTION
Phototherapy has been one of the first and still frequently used treatment modality for psoriasis. In the last decades, different types of lasers have been used for the treatment of psoriasis and other inflammatory skin diseases with variable success.
AREAS COVERED
Efficacy and safety of laser devices and intense pulsed light for the treatment of psoriasis. The literature search was conducted using the bibliographic databases MEDLINE, EMBASE, and Cochrane. Search terms included 'laser' AND 'psoriasis,' 'IPL' AND 'psoriasis,' 'intense pulsed light' AND 'psoriasis.'
EXPERT OPINION
Due to its high efficacy and safety profile, 308-nm Excimer laser retains its specific place in the treatment of plaque psoriasis as a first- or second-line therapy in mild disease or as an adjuvant treatment in case of partial response to systemic treatments in moderate-to-severe disease. Vascular lasers remain a last line therapy that can be tried in patients with recalcitrant limited plaques or nail affection. They are easy to apply and have a very good safety profile and tolerability, but the efficacy is limited. Fractional ablative lasers for application of laser-assisted drug delivery appear interesting and a topic for further research. When using lasers for psoriasis, a good pre-treatment is mandatory.
Topics: Humans; Phototherapy; Psoriasis; Dermatitis; Administration, Cutaneous; Treatment Outcome
PubMed: 37079360
DOI: 10.1080/1744666X.2023.2205640 -
Dermatologic Surgery : Official... Sep 2023Lasers and devices are used to enhance transcutaneous delivery of fillers. However, little has been published on the histologic findings of this form of...
BACKGROUND
Lasers and devices are used to enhance transcutaneous delivery of fillers. However, little has been published on the histologic findings of this form of laser/device-assisted delivery to determine the optimal devices and fillers.
OBJECTIVE
To objectively evaluate the histological effects of laser-assisted and device-assisted filler delivery.
METHODS
Ex vivo human abdominoplasty skin samples were treated with fractional CO 2 laser (ECO 2 , 120 μm tip, 120 mJ), fractional radiofrequency microneedling (FRMN, Genius, 1.5 mm, 20 mJ/pin), and microneedling (2.0 mm). Immediately after poly- l -lactic acid (PLLA), hyaluronic acid gel, calcium hydroxylapatite, and black tissue marking dye were topically applied. After treatment, biopsies were collected for histologic evaluation.
RESULTS
Histology revealed that PLLA and black dye were found in greatest abundance, hyaluronic acid was found to a lesser extent, and calcium hydroxylapatite was least found within channels created by fractional CO 2 laser. Microneedling was effective only at delivering black dye, whereas FRMN failed to show significant channel formation or delivery of the studied products.
CONCLUSION
Among the devices and fillers studied, fractional CO 2 laser and PLLA proved to be the most effective combination for laser/device-assisted filler delivery. Neither microneedling nor FRMN was effective as devices to enhance filler delivery.
Topics: Humans; Hyaluronic Acid; Durapatite; Skin; Light; Lasers, Gas
PubMed: 37389474
DOI: 10.1097/DSS.0000000000003870 -
Journal of Fluorescence Oct 2023A benzene ring and a lactone ring combine to form the chemical coumarin. Dye lasers have made significant advances in laser technology. The coumarin molecule itself is a... (Review)
Review
A benzene ring and a lactone ring combine to form the chemical coumarin. Dye lasers have made significant advances in laser technology. The coumarin molecule itself is a non-fluorescent but it displays high fluorescence when electron-denoting substituents such as sulfonamide, benzopyrone, amine, benzothiazole, hydroxyl, methoxy are substituted at various positions. Substituted coumarin possesses the highest energy properties, photostability, and alteration in electron mobility, and therefore could be effectively used as dye lasers. These are considered some of the best fluorophores due to their outstanding photophysical and photochemical properties, which include high fluorescence quantum yields, great photostability, good functionality, and a wide spectrum range. Various inorganic materials are used in classic laser technology to generate the necessary emission. Inorganic lasers come in various types and can emit light in the electromagnetic spectrum's ultraviolet, visible, or infrared parts. Inorganic lasers have certain limitations, which is why coumarin lasers are becoming increasingly popular due to their many advantages. Compared to inorganic lasers, dye lasers offer far better tunability and cover the entire visible and near-infrared range. They only emit at very few specific wavelengths and in extremely narrow bands. The property is therefore presented in this review.
PubMed: 37837509
DOI: 10.1007/s10895-023-03459-x -
Archives of Dermatological Research May 2024Melanoma, accounting for a significant proportion of skin cancer-related deaths, has variable survival outcomes based on the stage at diagnosis and treatment efficacy.... (Review)
Review
Melanoma, accounting for a significant proportion of skin cancer-related deaths, has variable survival outcomes based on the stage at diagnosis and treatment efficacy. Traditional treatments, while effective, pose risks of scarring and systemic side effects. Laser therapy offers an emerging non-surgical alternative, with CO2 lasers particularly showing promise in palliative care.A comprehensive search was conducted using PubMed, focusing on laser therapy for melanoma treatment. The search included studies on both stand-alone and adjunct laser therapies, with inclusion criteria requiring peer-reviewed articles detailing treatment outcomes for primary, recurrent, or metastatic melanoma.The literature shows that laser therapy for melanoma falls into four major types when categorized by laser medium: solid-state, diode, pulse-dye, and gas (CO2). Data on solid-state lasers for melanoma are limited and their use remains controversial. However, one study with high-energy pulsed neodymium lasers reported a 5-year survival of 82.9% with minimal adverse effects for primary melanoma. CO2 laser therapy has been effective for palliative treatment, with one study showing 54.8% of patients with recurrent melanoma surviving 5.4 years post-ablation. For metastatic melanoma, numerous studies have shown that CO2 laser therapy can provide symptomatic relief and disease control. Combination therapies using lasers and immune-based therapies have demonstrated enhanced outcomes and immune activation, highlighting the potential of laser therapies in melanoma management.While traditional treatments remain the standard for primary melanoma, laser therapies, particularly CO2 laser ablation, show substantial promise in palliative care for metastatic melanoma. Careful patient selection and assessment are crucial for achieving positive outcomes.
Topics: Humans; Melanoma; Skin Neoplasms; Palliative Care; Treatment Outcome; Lasers, Gas; Laser Therapy; Combined Modality Therapy; Lasers, Solid-State; Neoplasm Recurrence, Local
PubMed: 38795247
DOI: 10.1007/s00403-024-03107-9 -
Advanced Materials (Deerfield Beach,... Aug 2023A plasmonic nanolaser architecture that can produce white-light emission is reported. A laser device is designed based on a mixed dye solution used as gain material...
A plasmonic nanolaser architecture that can produce white-light emission is reported. A laser device is designed based on a mixed dye solution used as gain material sandwiched between two aluminum nanoparticle (NP) square lattices of different periodicities. The (±1, 0) and (±1, ±1) band-edge surface lattice resonance (SLR) modes of one NP lattice and the (±1, 0) band-edge mode of the other NP lattice function as nanocavity modes for red, blue, and green lasing respectively. From a single aluminum NP lattice, simultaneous red and blue lasing is realized from a binary dye solution, and the relative intensities of the two colors are controlled by the volume ratio of the dyes. Also, a laser device is constructed by sandwiching dye solutions between two Al NP lattices with different periodicities, which enables red-green and blue-green lasing. With a combination of three dyes as liquid gain, red, green, and blue lasing for a white-light emission profile is realized.
PubMed: 34510573
DOI: 10.1002/adma.202103262 -
Polymers Dec 2023The high-power lasers have important implications for present and future light-based technologies; therefore, the protection measures against their high-intensity...
The high-power lasers have important implications for present and future light-based technologies; therefore, the protection measures against their high-intensity radiation are extremely important. Currently, a great deal of interest is directed towards the development of new nonlinear optical materials for passive optical limiters, which are used to protect the human eye and sensitive optical and optoelectronic devices from laser-induced damage. Biopolymers doped with natural dyes are emerging as a new class of optical materials with interesting photosensitive properties. In this paper, the optical limiting capability of deoxyribonucleic acid bio-polymer functionalized with Turmeric natural dye has been demonstrated for the first time, to the best of our knowledge. The experimental investigation of the optical limit has been done by the Intensity-scan method in the NIR spectral domain at the important telecommunication wavelength of 1550 nm, using ultrashort laser pulses (~120 fs). Several optical properties of this natural dye are presented and discussed. The values of the optical transmittance in the linear regime, the saturation intensity of the nonlinear transmittance curves, and the coefficient of the nonlinear absorption have been determined. The influence of the DNA biopolymer and natural dye concentration on the optical limiting properties of the investigated biomaterials is reported and discussed. The photostability and thermal stability of the investigated solutions have also been evaluated by monitoring the temporal decay of the normalized absorption spectra under illumination with UVA light and heating, respectively. Our results evidence the positive influence of the DNA, which embeds Turmeric natural dye, on the optical limiting functionality itself and on the photostability and thermal stability of this novel material. The performed study reveals the potential of the investigated novel biomaterial for applications in nonlinear photonics, in particular in optical limiting.
PubMed: 38201761
DOI: 10.3390/polym16010096