Simple surgical approach with high-frequency radio-wave electrosurgery for conjunctivochalasis.
نویسندگان
چکیده
OBJECTIVE To introduce a new simple surgical approach with high-frequency radio-wave electrosurgery to reduce conjunctivochalasis (CCh). DESIGN Prospective, noncomparative, interventional case series analysis. PARTICIPANTS Twelve patients (20 eyes) with CCh were recruited from the outpatient service of the Department of Ophthalmology, Kangbuk Samsung Hospital, Seoul, Korea. METHODS On the inferior bulbar conjunctiva, subconjunctival coagulation was performed with a fine-needle electrode using a high-frequency radio-wave electrosurgical unit (Ellman Surgitron; Ellman International, Inc., Hewlett, NY) in coagulation mode. MAIN OUTCOME MEASURES Conjunctivochalasis grade; epiphora and dry eye symptoms (the Ocular Surface Disease Index [OSDI]; Allergan Inc., Irvine, CA, holds the copyright); and intraoperative and postoperative complications. RESULTS Eighteen eyes (90%) recovered a smooth, wet, and noninflamed conjunctival surface within 1 month and remained stable for a follow-up period of 3 months. At 3 months postoperatively, 18 eyes (90%) had grade 0 CCh. There was a statistically significant decrease of the OSDI score at 3 months postoperatively (P < 0.001). CONCLUSIONS A surgical approach with high-frequency radio-wave electrosurgery produced a significant reduction in CCh and an improvement in symptoms. Radio-wave surgical techniques represent a favorable alternative to surgical treatment of CCh. FINANCIAL DISCLOSURE(S) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
منابع مشابه
A Review on the Managements of Conjunctivochalasis
Conjunctivochalasis is a bilateral conjunctival disease diagnosed by loose and redundant conjunctival folds, commonly in the inferior bulbar area. It is a common reason for ocular irritation, particularly in subjects older than 60 years of age. There is no treatment for asymptomatic patients. However, symptomatic patients could be treated by a variety of medical and surgical therapies, which wi...
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ورودعنوان ژورنال:
- Ophthalmology
دوره 117 11 شماره
صفحات -
تاریخ انتشار 2010