Laser therapy for onychomycosis

Abstract

Insights

Laser therapy is approved only for cosmetic onychomycosis (nail fungus) treatment. Current evidence is insufficient to recommend it for eradicating fungal infections, requiring more rigorous trials.

Area of Science:

  • Dermatology
  • Medical Technology

Background:

  • Laser therapy is an emerging treatment for onychomycosis (nail fungus).
  • Its application and efficacy require thorough investigation.

Purpose of the Study:

  • To review current and prospective laser systems for onychomycosis treatment.
  • To assess the available evidence on laser therapy for nail fungus.

Main Methods:

  • Searched multiple databases (PubMed, FDA 510(k), ClinicalTrials.gov, Google Scholar).
  • Included in vitro studies, clinical trials, and manufacturer white papers.
  • Assessed clinical trials using a 20-point methodological quality scale.

Main Results:

  • Identified limited basic science and peer-reviewed articles, plus white papers and pending trials.
  • Commercial laser device systems for onychomycosis are available globally.
  • Clinical trials showed moderate methodological quality (average 9.1/20), with peer-reviewed studies scoring higher.

Conclusions:

  • Laser therapy is currently approved solely for cosmetic onychomycosis treatment.
  • It is not recommended as a therapeutic intervention for fungal infection eradication.
  • More high-quality randomized controlled trials are needed to establish efficacy compared to existing treatments.

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