Attended pri-med West Harvard course in anaheim, CA last week and ran into a Cutera sales woman at the Cutera booth. She was trying to sell me the 2011 version of the Cutera Xeo 1064 Genesis with built in Diode laser for treating Onychomycosis. This is a stand alone hand piece and one cannot upgrade to this with an existing Cutera genesis platform. Has anyone try this laser for Onychomycosis? How does the result compare to oral sporonox or topical antifungal solutions?

Dear Dr. Wang,

I don't have any personal experience with the Cutera. I have started treatment in two cases of onychomycosis with the sciton clearscan NDYAG. In the first case distal portion of the nail looks normal 1month post laser, the other one I just did a week ago. I'll let you know how it goes.

Thank you Dr Chalasani for your experience. I also own a Sciton 1064 long pulsed ND YAG and am interested in trying the Sciton laser in combination with topical antifungal cream on my onychomycosis patients. I will be doing this free of charge for experimentation. can you suggest some start up parameter for onychomycosis. Thank you very much

How are you treating the onychomycosis with NDYAG, at what settings? And do you zap on top on the nail and how often. I would love to try this on my patients. I have Cyanosure Elite laser.

Thanks.

Still have not tried the 10664 ND YAG on my patients yet. Still relying on good old oral sporonox, topical Loceryl and Lamisil. If I were to use long pulsed 1064 ND YAG I would start at 40J 0.5ms and treat to 5000 pulse per nail bed or as tolerated by particular patients. I have tried this setting on my normal nail and tolerate the setting just fine.

5000 pulses per nail? I'm curious as to how you arrived a such a lofty number. I know laser genesis uses very high pulse counts but if you were treating ten nails - well, I'd like to be home by 6.

Actually the pulse width is 0.5ms. The rate of lasing is 5-7Hz depending on the system. (ie 5-7 pulses/s). 5000 pulses would be about 15-18min per toe and 150-180 minutes for 10 toes.

I have a Cutera XEO. Anyone able to give anymore parameters? 5000 pulses at 0.5 pw, at 10 hz, what about the Joules? number of treatments, time to full result, etc.

Sorry for the parameter error. The parameter should have been 500 pulses per nail bed not 5000. This would only take a few minutes to reach 500 pulses as I only treat the nails affected by dermatophytosis. My setting on the Sciton 1064nm ND YAG for this treatment is 500 pulses 40J 0.5ms. I've been following my patients for the past months. Something perculiar is that some nail became loose and fall off of the nail bed after a few months. I've never seen this before with topical Loceryl or oral sporonox. Could the laser be causing the loosening and falling of the dead nail? I am stil experimenting with my parameters. would other doctors jump in and share their experience with 1064 ND YAG?

I have a Palomar Qyag 5. Anyone would suggest any parameters for a toe nail fungus?

what about spot size? i have a cynosure elite mpx with 1064 nd:yag and 755 Alex
thank you.