BackgroundPhotodynamic therapy with topical aminolevulinic acid (ALA-PDT) has been
suggested to be effective in treatment of acne vulgaris. However, adverse
events occur during and after treatment.ObjectivesTo compare the efficacy and tolerability of optical intra-tissue fiber
irradiation (OFI) ALA-PDT versus traditional ALA-PDT in treatment of acne
vulgaris in rabbit models.MethodsTwenty-five rabbits of clean grade were used. Twenty rabbits were randomly
selected to establish acne model and the other five were used as control.
Rabbits in model group (40 ears) were further divided into four groups (10
ears/group): I, OFI-ALA-PDT with the head of optical fiber inserted into the
target lesion (intra-tissue); II, traditional ALA-PDT group; III, OFI group;
IV, blank control group without any treatment. Uncomfortable symptoms,
adverse events, and effectiveness rates were recorded on post-treatment day
14, 30, and 45.ResultsOn post-treatment day 14, the effectiveness rate in OFI-ALA-PDT group was
obviously higher than that of the other three groups (P<0.05). However,
no improved effects were observed in OFI-ALA-PDT group on day 30 and 45.
During the period of treatment, the frequencies of uncomfortable symptoms in
ALA-PDT group were obviously higher than those in the other three groups
(P<0.05). The adverse event rate in OFI-ALA-PDT group was obviously lower
than that of the ALA-PDT group (P<0.05).Study limitationsThe unblindness of the study and temporary animal models of acne induced may
hamper the assessment and monitoring of the results, and future studies are
still needed to clarify it further.ConclusionThe OFI-ALA-PDT group (intra-tissue irradiation) showed no improved efficacy
on treating rabbit ear acne but had higher safety and better
tolerability.