A Clinical and Dermatoscopic Perspective of the Efficacy and Safety of Erbium: YAG Laser Ablation Versus 50% Trichloroacetic Acid for the Management of Xanthelasma Palpebrarum
Aakanksha Arora, Alpana Mohta, Rajesh Datt Mehta, Bhikam Chand Ghiya, Prasoon Soni, Vishnu Kumar Jangir, Manoj Kumar Yadav, Rajesh Khokhar, Vijay Mangava- Dermatology
- Surgery
Abstract
Xanthelasma palpebrarum (XP) is a benign cosmetic condition. Although the role of CO2 laser is well described, there are only a few studies on Erbium: YAG in XP. Similarly, trichloroacetic acid (TCA) is commonly used in XP. However, there are only a few studies comparing these modalities in the treatment of XP.
Aim:
To evaluate the effectiveness and safety of Erbium: YAG laser and 50% TCA in the treatment of XP with the role of dermoscope in the evaluation of lesions.
Materials and Methods:
A total of 20 subjects were randomly allocated into two groups: group A (TCA) and group B (laser). All patients were subcategorized into three grades viz. I (mild), II (moderate), and III (severe) using a self-devised scoring system.
Results:
About 25% and 70% of patients achieved complete clearance in groups A and B, respectively (