{"id":29993,"date":"2023-11-22T21:22:08","date_gmt":"2023-11-22T21:22:08","guid":{"rendered":"https:\/\/todaysveterinarynurse.com\/?p=29993"},"modified":"2025-12-19T15:54:07","modified_gmt":"2025-12-19T15:54:07","slug":"fluorescent-light-energy-therapy","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/dermatology\/fluorescent-light-energy-therapy\/","title":{"rendered":"Using Fluorescent Light Energy for Dermatologic Therapy"},"content":{"rendered":"<div class=\"su-spacer\" style=\"height:20px\"><\/div><div class=\"su-note\"  style=\"border-color:#d8d8d8;border-radius:3px;-moz-border-radius:3px;-webkit-border-radius:3px;\"><div class=\"su-note-inner su-u-clearfix su-u-trim\" style=\"background-color:#f2f2f2;border-color:#ffffff;color:#333333;border-radius:3px;-moz-border-radius:3px;-webkit-border-radius:3px;\"><b>Abstract<\/b><\/p>\n<p class=\"p1\">Fluorescent light therapy uses a form of photobiomodulation, fluorescent light energy, to repair skin at a cellular and molecular level, which reduces skin healing and infection resolution times. Fluorescent light therapy is administered via a new, easy-to-use, noninvasive treatment tool that targets all layers of the skin simultaneously to promote regeneration, decrease inflammation, kill microorganisms, and more.<\/p>\n<p><b>Take-Home Points <\/b><\/p>\n<ul>\n<li class=\"p1\">Fluorescent light energy (FLE) is safe for use around patients, veterinary staff, and clients.<\/li>\n<li class=\"p1\">FLE decreases skin healing time, including postsurgical healing, and hastens resolution of infected lesions.<\/li>\n<li class=\"p1\">Use of FLE enhances antimicrobial stewardship and decreases the need for systemic treatments by treating only the affected area.<\/li>\n<li class=\"p1\">FLE can be used as monotherapy for bacterial skin infections (e.g., pyoderma) with early intervention.<\/li>\n<li class=\"p1\">FLE sessions typically last no more than 15 minutes and can be scheduled as veterinary nurse appointments, which empowers staff, generates revenue, and improves client compliance.<\/li>\n<li class=\"p1\">Do not use FLE in patients with neoplastic lesions, those with photoaggravated conditions, or those receiving photosensitizing medication.<\/li>\n<\/ul>\n<\/div><\/div>\n<p class=\"p2\"><span class=\"s1\">Veterinary medicine is welcoming a new modality that is changing the landscape of veterinary dermatology by reducing healing times by 50% or more.<sup>1,2<\/sup> Fluorescent light energy (FLE) therapy, currently marketed as <a href=\"https:\/\/todaysveterinarypractice.com\/integrative-alternative-medicine\/laser-therapy-fact-or-fancy\/\" target=\"_blank\" rel=\"noopener\">photobiomodulation<\/a> via fluorescence (Phovia; Vetoquinol, <\/span><a href=\"http:\/\/phoviausa.com\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">phoviausa.com<\/span><\/a><span class=\"s1\">), may be new to veterinary medicine, but it has a scientifically proven track record in human medicine for skin regeneration.<\/span><\/p>\n<hr \/>\n<p>Listen to Jennie Tait speak on this topic on a VetFolio podcast, <a href=\"https:\/\/on.soundcloud.com\/puVODpf4SWWqPlPSMf\" target=\"_blank\" rel=\"noopener\">Bright Ideas in Skin Care: The Role of Fluorescent Light Therapy in Veterinary Dermatology<\/a>!<\/p>\n<hr \/>\n<p><iframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" allow=\"autoplay\" src=\"https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/soundcloud%253Atracks%253A2152995462&#038;color=%23ff5500&#038;auto_play=false&#038;hide_related=false&#038;show_comments=true&#038;show_user=true&#038;show_reposts=false&#038;show_teaser=true\"><\/iframe><\/p>\n<div style=\"font-size: 10px; color: #cccccc;line-break: anywhere;word-break: normal;overflow: hidden;white-space: nowrap;text-overflow: ellipsis; font-family: Interstate,Lucida Grande,Lucida Sans Unicode,Lucida Sans,Garuda,Verdana,Tahoma,sans-serif;font-weight: 100;\"><a href=\"https:\/\/soundcloud.com\/vetfolio\" title=\"VetFolio\" target=\"_blank\" style=\"color: #cccccc; text-decoration: none;\">VetFolio<\/a> \u00b7 <a href=\"https:\/\/soundcloud.com\/vetfolio\/bright-ideas-in-skin-care-the-role-of-fluorescent-light-therapy-in-veterinary-dermatology\" title=\"Bright Ideas in Skin Care: The Role of Fluorescent Light Therapy in Veterinary Dermatology\" target=\"_blank\" style=\"color: #cccccc; text-decoration: none;\">Bright Ideas in Skin Care: The Role of Fluorescent Light Therapy in Veterinary Dermatology<\/a><\/div>\n<h2 class=\"p3\">How Does Fluorescent Light Energy Therapy Work?<\/h2>\n<p class=\"p2\"><span class=\"s1\">FLE technology uses controlled light from a light-emitting diode (LED) lamp to promote healing of damaged or impaired skin. The lamp generates blue light, which passes through a chromophore gel that splits it into different wavelengths in the visible and near-infrared spectrum. This process is similar to passing light through a prism, and the result is known as polychromatic light. The use of polychromatic light differs from the methodology used in other light therapies.<sup>1<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">The different wavelengths produced during FLE treatment are blue, green, yellow\/orange, and red light. Each wavelength penetrates to a different depth in the skin (epidermis, dermis, and hypodermis), which enables the user to target multiple skin layers and their different functions simultaneously (<\/span><span class=\"s2\"><b>FIGURE 1<\/b><\/span><span class=\"s1\">).<sup>2-4<\/sup> Violet and ultraviolet (UV) light are not produced, thereby avoiding UV-related damage to cells.<\/span><\/p>\n<div id=\"attachment_29994\" style=\"width: 361px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-29994\" class=\" wp-image-29994\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig1.png\" alt=\"\" width=\"351\" height=\"352\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig1.png 1048w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig1-300x300.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig1-1019x1024.png 1019w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig1-150x150.png 150w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig1-768x772.png 768w\" sizes=\"(max-width: 351px) 100vw, 351px\" \/><p id=\"caption-attachment-29994\" class=\"wp-caption-text\">Figure 1. Skin layers and structures stimulated by different wavelengths of fluorescent light energy during treatment. LED = light-emitting diode. Illustration: Kip Carter<\/p><\/div>\n<p class=\"p2\"><span class=\"s1\"><b>Blue light<\/b> penetrates the epidermis up to 1 mm deep. At this depth, it stimulates the mitochondria, the \u201cpowerhouses\u201d of cells. Stimulating the mitochondria increases cell function and production of adenosine triphosphate for energy, cyclic adenosine monophosphate for improved cell function, reactive oxygen species for proliferation, and nitric oxide for vasodilation, thereby mediating an immune response and releasing growth factors. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">In turn, these all expedite molecular reactions and cascades, resulting in an increased production of several different growth factors (e.g., epidermal growth factor, vascular endothelial growth factor, fibroblast growth factors) that speed healing. Blue light also has antibacterial properties, disrupting biofilms and damaging bacterial cell walls. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b>Green light<\/b> penetrates through to the dermis (0.5 mm to 2 mm deep). At this level, it targets fibroblasts in the dermis, which are needed for wound healing, and increases proliferation of keratinocytes in the epidermis. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b>Yellow\/orange light<\/b> penetrates 1 to 2 mm deep in the dermis. It reduces inflammation and targets blood vessels to increase circulation.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b>Red light<\/b> penetrates up to 6 mm deep. It decreases inflammation in the epidermis and dermis, promotes angiogenesis, and increases collagen production up to 400 times. It also can convert collagen I, found in scars, into collagen III, which is much more supple. The result is dramatically faster healing with minimal cicatrization (scar formation). <\/span><\/p>\n<h2 class=\"p3\">Why Use Fluorescent Light Energy Therapy?<\/h2>\n<p class=\"p2\"><span class=\"s1\">FLE has many therapeutic applications and advantages (<\/span><span class=\"s2\"><b>BOXES 1 AND 2<\/b><\/span><span class=\"s1\">). Unlike low-level laser therapy (LLLT), FLE therapy uses polychromatic light, allowing it to target multiple layers of the skin at one time versus just a single layer. Ease of use is also a factor: the Phovia lamp, for example, is simple to use with a broad beam, a calibrated depth gauge, and an automatic timer to ensure proper delivery of treatment. Conversely, LLLT has a narrow beam that must be held at a 90\u00b0 angle and moved accurately to ensure proper administration.<\/span><\/p>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#606060;border-radius:3px;\"><div class=\"su-box-title\" style=\"background-color:#939393;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">BOX 1 Indications and Contraindications for Fluorescent Light Energy (FLE) Therapy<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">FLE therapy is appropriate for most dermatologic presentations, such as:<\/p>\n<ul>\n<li>Postsurgical healing, including after CO2 laser cutting or ablation<\/li>\n<li>Pyoderma associated with many conditions (e.g., multidrug-resistant infection, acral lick granulomas, pyotraumatic dermatitis, fistulas)<\/li>\n<li>New or nonhealing wounds<\/li>\n<li>Perianal fistulas<\/li>\n<li>Furuncles (canine chin furunculosis)<\/li>\n<li>Interdigital nodular pododermatitis (interdigital cysts)<\/li>\n<li>Aural hematomas<\/li>\n<li>Vasculitis<\/li>\n<li>Idiopathic ulcerative dermatitis<\/li>\n<li>Alopecia areata<\/li>\n<\/ul>\n<p>FLE therapy should not be used for patients that:<\/p>\n<ul>\n<li>Have photoaggravated conditions<\/li>\n<li>Are undergoing treatment with photosensitizing medication<\/li>\n<li>Have neoplastic lesions<\/div><\/div><\/li>\n<\/ul>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#606060;border-radius:3px;\"><div class=\"su-box-title\" style=\"background-color:#939393;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">BOX 2 Advantages of Fluorescent Light Energy (FLE) Therapy<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">\n<ul>\n<li>Mobile and easy to use with minimal training<\/li>\n<li>Noninvasive and nonpharmacologic<\/li>\n<li>Dosing not weight dependent<\/li>\n<li>Decreases the need for systemic medication and associated adverse effects by targeting the affected area only<\/li>\n<li>Promotes antimicrobial stewardship<\/li>\n<li>Improved time to healing by 50% or more<sup>1,2<\/sup><\/li>\n<li>Improves speed to resolution in infected lesions<\/li>\n<li>Reduces pain and inflammation<\/li>\n<li>No drug testing concerns for equine patients<\/li>\n<li>Proven efficacy and safety in human and veterinary medicine<\/div><\/div><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\">FLE therapy also has the potential to be used as monotherapy for bacterial pyoderma when instituted as an early intervention.<sup>1-3<\/sup> This would be a tremendous step in the right direction for <a href=\"https:\/\/todaysveterinarypractice.com\/dermatology\/treating-canine-superficial-pyoderma-in-the-era-of-antimicrobial-resistance\/\" target=\"_blank\" rel=\"noopener\">antimicrobial stewardship<\/a>. The World Health Organization lists antimicrobial resistance as one of the top 10 threats to global health, while the United Nations Interagency Coordination Group on Antimicrobial Resistance reports that drug-resistant diseases could account for 10\u00a0million deaths annually by 2050.<sup>5-7<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Because FLE therapy sessions are quick and can be scheduled as veterinary nurse appointments or even house calls, they can create a new stream of revenue and help improve compliance with rechecks and follow-up. The author has also seen firsthand how FLE therapy improves the quality of patients\u2019 lives. Patients not only heal faster but are much more comfortable, enough so that they do not need Elizabethan collars, which clients greatly appreciate as well. <\/span><\/p>\n<h2 class=\"p3\">What Is Required?<\/h2>\n<p class=\"p4\"><span class=\"s1\">The Phovia kit includes: <\/span><\/p>\n<ul>\n<li class=\"p5\"><span class=\"s1\">A rechargeable, wireless LED lamp<\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Jars of gel (6% urea peroxidase)<\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Single-use ampules of chromophore dye<\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Sterile tongue depressors<\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">2 pairs of protective goggles<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\">The lamp, which looks like a large flashlight, contains multiple LEDs and is activated with the push of a button, which starts a timed 2-minute session, culminating in the lamp turning off to end the session. The 2-minute time limit prevents tissue damage. FLE is considered to pose a low risk for eye injury; however, protective goggles are always recommended for anyone present during treatment, and patients should not be allowed to look into the lamp, per Phovia instructions. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Although back-to-back sessions generate a warming sensation of the skin, FLE therapy itself is not painful; therefore, most treatments do not require sedation unless the location or condition being treated causes patient discomfort.<\/span><\/p>\n<h2 class=\"p3\">Using Fluorescent Light Energy Therapy: Step by Step<\/h2>\n<p class=\"p2\"><span class=\"s1\">At the author\u2019s dermatology referral clinic, most FLE protocols consist of two 2-minute sessions performed back to back, with a 1-minute rest in between, done once a week until resolution. This avoids the need for patients to return for a second treatment in a few days. The author\u2019s clinic has had great success with many challenging cases, including cases that have been refractory to treatment in general practice for extended periods of time. Even difficult cases tend to resolve within 4 weeks, and maximum response (plateauing) appears around 8 weeks (<\/span><span class=\"s2\"><b>FIGURE 2<\/b><\/span><span class=\"s1\">). FLE also has a residual effect on cell mitochondria function, with <\/span><span class=\"s3\">increased molecular activity noted as far as 52 weeks out.<sup>8<\/sup><\/span><\/p>\n<div class=\"su-image-carousel  su-image-carousel-has-spacing su-image-carousel-crop su-image-carousel-crop-4-3 su-image-carousel-has-outline su-image-carousel-adaptive su-image-carousel-slides-style-default su-image-carousel-controls-style-dark su-image-carousel-align-center\" style=\"max-width:80%\" data-flickity-options='{\"groupCells\":true,\"cellSelector\":\".su-image-carousel-item\",\"adaptiveHeight\":false,\"cellAlign\":\"left\",\"prevNextButtons\":true,\"pageDots\":false,\"autoPlay\":5000,\"imagesLoaded\":true,\"contain\":true,\"selectedAttraction\":0.025,\"friction\":0.28}' id=\"su_image_carousel_69e8e34f50043\"><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><img decoding=\"async\" width=\"864\" height=\"770\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2A.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2A.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2A-300x267.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2A-768x684.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 2. Healing progression of nonhealing wounds of unknown origin treated with fluorescent light energy. Methicillin-resistant Staphylococcus pseudintermedius had been previously diagnosed. (A) Wounds at presentation to the referral clinic (week 1).<\/span><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><img decoding=\"async\" width=\"864\" height=\"616\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2B.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2B.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2B-300x214.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2B-768x548.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 2B. Wounds at the second treatment session (week 1).<\/span><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"726\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2C.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2C.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2C-300x252.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2C-768x645.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 2C. Wounds at the fourth treatment session (week 2).<\/span><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"669\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2D.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2D.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2D-300x232.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2D-768x595.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 2D. Wounds at the sixth treatment session (week 3).<\/span><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"834\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2E.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2E.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2E-300x290.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2E-768x741.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 2E. Wounds at the eighth treatment session (week 4).<\/span><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"527\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2F-1024x527.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2F-1024x527.png 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2F-300x154.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2F-768x395.png 768w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2023\/11\/Tait_TVNWinter24_FLETherapy_Fig2F.png 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><span>Figure 2F. The patient 1 year post-treatment.<\/span><\/div><\/div><\/div><script id=\"su_image_carousel_69e8e34f50043_script\">if(window.SUImageCarousel){setTimeout(function() {window.SUImageCarousel.initGallery(document.getElementById(\"su_image_carousel_69e8e34f50043\"))}, 0);}var su_image_carousel_69e8e34f50043_script=document.getElementById(\"su_image_carousel_69e8e34f50043_script\");if(su_image_carousel_69e8e34f50043_script){su_image_carousel_69e8e34f50043_script.parentNode.removeChild(su_image_carousel_69e8e34f50043_script);}<\/script>\n<p class=\"p4\"><span class=\"s1\">For each FLE therapy session (<strong>VIDEO 1<\/strong>): <\/span><\/p>\n<ul>\n<li class=\"p5\"><span class=\"s1\">Ensure the area to be treated is readily accessible. You may need to clip the affected site. <\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Clean the site with saline-soaked gauze squares to ensure any topical medications have been removed. Gently blot the area dry. <\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Thoroughly mix 1 ampule of dye with 1 jar of gel, using a supplied sterile tongue depressor.<\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">With the same tongue depressor used for mixing, apply a 2-mm\u2013thick layer of gel to the area to be treated. One jar covers an area of 50 cm<sup>2<\/sup>, so you may be able to split it between patients. Ensure that a new sterile tongue depressor is used for each application. <\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Press the button on the lamp to start the 2-minute treatment cycle and hold it as close as possible to the <\/span>skin. The lip of the lamp collar is calibrated to provide <span class=\"s1\">a distance of 5 cm from the light source to the skin to ensure both accuracy of placement and ease of use. One lamp can illuminate an area of 50\u00a0cm\u00b2. If you are treating a very large area, consider using multiple lamps at the same time. The lamp will beep and turn off when the 2-minute treatment cycle has ended. <\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Finish by cleaning off the spent chromophore gel with saline-soaked gauze squares. <\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">If performing back-to-back sessions, after removing the spent gel with saline, blot dry and wait at least 1\u00a0minute. Then apply fresh gel, apply the FLE for 2\u00a0minutes, and remove the spent gel with saline. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">In 7 days, reassess the patient and administer another session if needed.<\/span><\/li>\n<\/ul>\n<div class=\"su-youtube su-u-responsive-media-yes\"><iframe width=\"600\" height=\"400\" src=\"https:\/\/www.youtube.com\/embed\/fTBaxjwGQKM?\" frameborder=\"0\" allowfullscreen allow=\"autoplay; encrypted-media; picture-in-picture\" title=\"\"><\/iframe><\/div>\n<h2 class=\"p3\">Considerations and Contraindications<\/h2>\n<p class=\"p2\"><span class=\"s1\">Best results are obtained when FLE therapy is implemented as early as possible in a disease process. As with any dermatology patient, it is imperative to treat any underlying condition or clinical signs will recur.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">While FLE is a safe treatment option for operators and patients alike, the urea peroxidase gel often bleaches the hair coat, so clients should be made aware of this ahead of time.<sup>9,10<\/sup> The bleaching effect will disappear as the affected hair grows and is replaced by new hair. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Other possible side effects include erythema that resolves within 6 to 12 hours, hyperpigmentation, and\/or transient pain at the wound site. Anecdotally, hair color change and erythema are most common. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">FLE therapy is not indicated for use in animals with neoplastic lesions; those with photoaggravated conditions; or those on medication with photosensitizing agents such as antimicrobials in the tetracycline class, clofazimine, <\/span>dacarbazine, dapsone, griseofulvin, coal tar, or retinoids.<\/p>\n<h2 class=\"p3\">Summary<\/h2>\n<p class=\"p2\"><span class=\"s1\">The introduction of FLE therapy, although in its infancy in veterinary medicine, is revolutionizing interventions for the management of dermatologic conditions. It is a modality that the author\u2019s practice has quickly come to rely on and has the potential to improve the quality of care and quality of life for patients in veterinary practices around the globe. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Unlike other light therapies, FLE therapy uses polychromatic light, allowing it to target multiple layers of the skin at one time versus just a single layer.<\/p>\n","protected":false},"author":236,"featured_media":30001,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[242],"tags":[145],"class_list":["post-29993","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-winter-2024","tag-peer-reviewed","column-skills-check","clinical_topics-dermatology"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is 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