Combined Fractional CO2 Laser With Topical Tioconazole Versus Q-switched Nd:YAG Laser in the Treatment of Onychomycosis; a Randomized Controlled Trial

Inclusion Criteria: * • Age group \>18 years. * Patients of both genders. * Patients with OM any type. Exclusion Criteria: * • Pregnancy * Localized bacterial infection around the affected nail * Concomitant nails disease that causes nail dystrophy or discoloration such as psoriasis, lichen planus and atopic dermatitis that may interfere with diagnosis and treatment * Hypersensitivity to terbinafine * Intake of oral antifungal medication within the last 3 months or used topical antifungal medication within the last 2 weeks prior to the laser treatment