Treatment of the Hidrocystomas with laser of CO2

Treatment of hidrocystomas with CO2 laser has been mentioned as one of the options.

Describing a resection technique assisted by a microscope and CO2 laser is the purpose of this article.

Adrián Ríos, Unilaser medical director.

Eccrine hidrocystomas are translucent cysts that appear on the skin of the eyelids, respecting their free edge.

They affect people between 30 and 70 years of age. In the presence of hot or humid weather, they can increase in size. In multiple presentations, they can do so in number.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781304/ They are contained in a thin wall of tissue with trapped tear fluid, without connection to the skin surface. Dissection of these small tumors is difficult under the “naked eye” with conventional cutting instruments. The cyst capsule is thin, easily broken, and the location on the orbicularis oculi muscle, very prone to bleeding, requires very precise dissection. The goal of treating hidrocystomas with CO2 laser is to obtain a very clean resection. If these are “plaque” areas with multiple small cysts, unroofing and vaporizing the capsules with laser will generate less tissue aggression. Of course, visualization is better with more direct control of microbleeding. The microscope will also allow the visualization of capsule remains. Electrosurgery should not be used to coagulate vessels. The greater the inflammation, the greater the disability, the greater the risk of scarring. Remaining portions of the capsule can be removed, which leads to recurrence of the hidrocystoma.