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June 1992

Treatment of Periorbital Port-wine Stains With the Flashlamp-Pumped Pulsed Dye Laser

Author Affiliations

From the Department of Dermatology (Drs Holy and Geronemus), and the Surgery and Laser Sections of the Department of Dermatology (Dr Geronemus), New York University Medical Center, New York, NY.

Arch Ophthalmol. 1992;110(6):793-797. doi:10.1001/archopht.1992.01080180065029

• Sixty-seven patients with periorbital port-wine stains were treated with the flashlamp-pumped pulsed dye laser at a wavelength of 577 or 585 nm and a pulse-width of 450 microseconds. A retrospective analysis of the efficacy of this treatment was performed by qualitative and quantitative comparison of simultaneously projected pretreatment and posttreatment photographs and by comparison of photographs with a visual analog scale. These periorbital port-wine stains were treated with good-to-excellent results in 95% of the patients. As a result of treatment, macular (ie, nonhypertrophic) lesions, were lightened by an average of 80%. Neither scarring nor permanent pigmentary alteration was noted. Children of all ages were treated without adverse consequences, and the results were comparable to those of adults. The flashlamp-pumped pulsed dye laser treatment of periorbital port-wine stains is effective and safe in patients of all ages and should be considered the treatment of choice for flat and mildly hypertrophic lesions.

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