A total of 112 spider naevi in 86 patients were treated with the tunable dy
e laser with a wavelength of 585 nm and pulse duration of 450 mu s (SPTL 1,
Candela Corporation, Wayland, MA). Complete ablation of the spider telangi
ectasia was achieved in 81 lesions (72.3%) partial ablation was achieved in
27 lesions (24.1%) and four (3.6%) lesions had no response to treatment. T
ransient hyperpigmentation was noted in one patient and minimal scarring in
the form of a slight depression over the treated area was noted in another
patient. The pulsed dye laser is shown to be effective in the treatment of
spider naevi.