TABLE 4.
TREATMENT MODALITY | ARTICLE REFERENCE | PARAMETERS | NUMBER OF TREATMENTS (INTERVAL) | ADDITIONAL TREATMENTS | REPORTED CURE RATES |
Nd:YAG | Kalokasidis et al36 | First pass: 1,064nm,14 J/cm2 Second pass: 532nm, 14 J/cm2 |
2 (4 weeks) | None | At one month
|
Hochman et al37 | 2 passes: 1,064nm, 223 J/cm2, no cooling | 2–3 (3 weeks) | Antifungal cream | After last treatment:
|
|
Okan et al38 | 2 passes: 1,064nm, 40–60 J/cm2 | 4 (1 week) | 40% urea cream under occlusion 1 week pretreatment | At 6 months:
|
|
Carney et al39 | 1,064nm, 16 J/cm2 | 4 (1 week) + single additional session at Week 7 | Topical antifungal | At 15 weeks:
|
|
Fractional CO₂ | Bhatta et al33 | 2–6 passes : E=9 mJ, 410 spot/cm2 | 3 (4 weeks) | 1% terbinafine cream daily for 3 months | At last treatment:
|
Shi et al40 | Multiple passes: E=15 mJ, 15% spot density | 12 (2 weeks) | 1% terbinafine cream daily, under occlusion overnight for 6 months | At last treatment:
|
|
Nonthermal | Zang et al42 | 635-/405-nm dual-diode laser | 4 (1 week) | None | At 6 months:
|
Near infrared light | Landsman et al41 | 4,074 J/cm2, 870 and 930 nm | Treatments at Days 1, 14, 42, and 120 | None | At 2 months:
|
Clinical cure refers to >75% nail clearance or > 3mm of clear nail growth