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Laser therapy for onychomycosis
Background:
Laser therapy is a rapidly expanding new treatment modality for onychomycosis.
Objective:
To review current and prospective laser systems for the treatment of onychomycosis.
Method:
We searched the PubMed database, the Food and Drug Administration 510(k) database, ClinicalTrials.gov, and Google Scholar for in vitro studies, peer-reviewed clinical trials, manufacturers' white papers, and registered clinical trials of laser systems indicated for the treatment of onychomycosis. All published clinical trials were assessed on a 20-point methodological quality scale.
Results:
We identified three basic science articles, five peer-reviewed articles, three white papers, and four pending clinical trials, as well as numerous gray literature documents. The overall methodological score for the clinical trials was 9.1 ± 1.1, with peer-reviewed studies showing a higher score (9.8 ± 1.5) than white papers (7.5 ± 0.7). We also identified 11 commercial laser device systems of varying global availability.
Conclusion:
Laser therapy has been tested and approved as a cosmetic treatment only for onychomycosis. It cannot be recommended as a therapeutic intervention to eradicate fungal infection at this time as more rigorous randomized, controlled trials are required to determine if laser therapy is efficacious on par with oral and topical interventions.
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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