SLR - December 2011 - Sarah Newey
Reference: Hockman, L. Laser treatment of onychomycosis using a novel 0.65-millisecond pulsed Nd:YAG 1064-nm laser. Journal of Cosmetic and Laser Therapy, 2011; 13: 2–5.
Scientific Literature Review
Reviewed by: Sarah Newey, DPM
Residency Program: University Hospitals Richmond Medical Center/OCPM
Podiatric Relevance:
Onychomycosis is a common podiatric problem treated by podiatrists with low cure rates and significant recurrence using current treatment options. This review will look at an article focusing on LASER therapy as treatment for this condition.
Methods:
Eleven patients were analyzed in a dermatology clinic and confirmed to have mycotic nails. These patients underwent LASER therapy for treatment of this fungal infection. Each nail was treated using a 1064-nm Nd:YAG with the energy fluence set at 223 J/cm 2 for approximately 45 seconds. Antifungal cream was then applied to the nails daily. Patients received two to three treatments which were set at least 3 weeks apart.
Results:
Post-treatment culture was negative in seven of eight patients. Significant cosmetic improvement was noted in all treated patients.
Conclusions:
The efficacy of a short-pulsed 1064-nm Nd:YAG may be a safe and effective treatment option for patients with onychomycotic nail infections.