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drnase
14th January 2006, 07:28 PM
Hi Group,

Back to rosacea please.

Many rosacea sufferers notice improvement in ocular rosacea symptoms with treatment of the facial skin -- more specifically the nose and upper cheeks.

The secret to this treatment is to determine where the angular artery is. This is the major artery that supplies the eyelids and the eye surface. It comes in at two important points.

1. The side of the nose -- upper bridge about half an inch down from the top of the nose. This supplies the ocular surface and the upper eyelid.

2. The upper cheek right against the nose -- this area, right under the delicate eye area is the key arterial supply of the lower eye lid and a portion of the ocular surface.

Focusing treatment of these areas with the 1064 YAG or smallest crystal head of the Photoderm/Lumenis can remove the larger angular branches and leave small collateral branches that are still able to maintain proper superfiicial blood supply to the eye, but do not allow the large fushing reponse.

If you have bad inflammatory ocular rosacea you can get this done by a laser eye doctor who can use a microscope to locate the angular artery on the nost and upper cheek, trace it with a pen and then photocoagulate both of these vessels.

This really does help most rosacea sufferers with ocular rosacea, but many laser physicians do not treat high enough on the side of the nose or up high enough on the cheek area to fully remove the angular artery.

One day if we could trace the internal carotid artery we could remove a major blood flow source to the entire cheek area and nose. The would require experiments by ENT specialists.

YankeesRtheBest
17th January 2006, 06:38 PM
Dr. Nase,

When you say 1064 YAG to remove this artery for ocular rosacea, does that include the cutera genesis YAG mode? Also, can the sciton BBL fully remove the angular artery? Thanks so much. -Chris