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. 2014 Jul 27;7:34. doi: 10.1186/1757-1146-7-34

Table 1.

Summary of studies included in the review

Author(s) Study type N of subjects (Nails) (Fingernails)* Laser Diagnostic criteria Max. follow up period Study endpoint
Carney et al. [26]
Case Series
10 (18)
1064 nm Nd:YAG (short Pulse). 1 treatment.
Culture
24 weeks
Decrease in area of nail visually affected measured with the Onychomycosis Severity Index (OSI) and negative cultures.
Hees et al. [37]
Comparative study
10 (20)
1064 nm (long v. short pulse) on each hallux 2 treatments over 4 weeks (side by side comparison).
Histology
36 weeks
Decrease in area of nail visually affected measured with the Onychomycosis Severity Index (OSI). Negative histology & cultures.
Hochman [28]
Case Series
8 (12) (1)*
1064 nm (short pulse). 2 or 3 treatments, 3 weeks apart.
Culture or PAS
24 weeks
Negative fungal cultures.
Hollmig et al. [29]
RCT
27 (125)
1064 Nd:YAG. 2 Treatments 2 weeks apart versus control.
Culture or PAS
52 weeks
Negative cultures and measured clearance at 3 months for all subjects, and repeated clearance measurement at 12 months for those treated with laser.
Kalokasidis et al. [30]
Case Series
131 (unknown)
1064 nm/532 Q switched Nd:YAG. 2 treatments, 30 days apart.
Microscopy & Culture
12 weeks
Decrease in area of nail visually affected measured with the Onychomycosis Severity Index (OSI) and negative cultures.
Kimura et al. [31]
Case Series
13 (37)
Nd:YAG 1064 nm (long Pulse) 2–3 treatments, 4 weeks apart.
Microscopy
Up to 24 weeks
Improvements in nail turbidity score and, negative culture if nail was 100% improved in turbidity score.
Landsman et al. [25]
RCT
36 (37)
870 nm/930 nm laser or sham control device. 4 treatments over 60 days.
Culture or PAS
24 weeks
Decrease in affected nail area (clearance) and negative culture or PAS stain.
Lim et al. [32]
Case Series
24 (unknown)
CO2 laser. 3 treatments at 4 weeks plus topical treatment.
Microscopy
24 weeks
Decrease in affected nail surface area and negative microscopy.
Moon et al. [33]
Case Series
13 (43) (12)*
1064 nm Nd:YAG (long pulse). 5 treatments at 4 week intervals.
Microscopy & Culture
24 weeks
Decrease in affected nail surface area and negative microscopy.
Noguichi et al. [34]
Case Series
12 (12)
1064 nm Nd:YAG (long Pulse) 3 treatments at 4 week intervals.
Microscopy or PCR or culture
24 weeks
Decrease in nail surface area affected and negative microscopy.
Waibel et al. [35]
Comparative study
21 (21)
1064 nm ND:YAG v. 1319 nm v. Broadband light. 4 treatments at one week apart.
Culture & PAS
24 weeks
Negative fungal culture.
Zhang et al. [36] Comparative study 33 (154) (18)* 1064 nm Nd:YAG (long pulse) Either 4 OR 8 treatments - one week apart. Microscopy & Culture 24 weeks Negative culture and measured decrease in affected nail surface area.