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Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage.

Kashima T, Akiyama H, Miura F, Kishi S - Clin Ophthalmol (2011)

Bottom Line: The mean postoperative symptom score obtained from the questionnaire was 3.27 ± 3.31, which was significantly lower than the preoperative score (P < 0.0001).Thermal cauterization can achieve conjunctival shrinkage and adherence to the subconjunctival tissues.Operation time is only a few minutes, postoperative pain is not severe, and the procedure can be performed in an outpatient clinic, all of which represent benefits to the patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Gunma University School of Medicine, Gunma, Japan. kasimatomoyuki@yahoo.co.jp

ABSTRACT

Purpose: To evaluate the improvement in subjective symptoms of conjunctivochalasis after bipolar coagulation.

Methods: Forty-three eyes of 26 patients (average age, 75.7 ± 8.4 years) were included in this study. The inferior conjunctivas were cauterized between April 2009 and June 2010. Surgery involved pinching the excess conjunctiva and performing bipolar cauterization after subconjunctival injection of a local anesthetic agent. Patients were asked to describe the postoperative foreign-body sensation and change in subjective symptoms 1 month postoperatively, with the preoperative symptom score defined as 10.

Results: Twenty-two patients (84.6%) reported symptom relief immediately after the procedure, though all patients had a mild gritty sensation for 1-2 weeks postoperatively. The mean postoperative symptom score obtained from the questionnaire was 3.27 ± 3.31, which was significantly lower than the preoperative score (P < 0.0001). No patients had experienced recurrent symptoms at the end of the follow-up period.

Conclusion: Thermal cauterization can achieve conjunctival shrinkage and adherence to the subconjunctival tissues. Operation time is only a few minutes, postoperative pain is not severe, and the procedure can be performed in an outpatient clinic, all of which represent benefits to the patients.

No MeSH data available.


Related in: MedlinePlus

Photograph 1 month postoperatively. (A) The conjunctivochalasis has resolved, but slight conjunctival injection remains. (B) A white scar has formed in the coagulated region and is accompanied by mild injection. Conjunctival injection tends to be prolonged in patients with keratoconjunctivitis sicca.
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f4-opth-5-1391: Photograph 1 month postoperatively. (A) The conjunctivochalasis has resolved, but slight conjunctival injection remains. (B) A white scar has formed in the coagulated region and is accompanied by mild injection. Conjunctival injection tends to be prolonged in patients with keratoconjunctivitis sicca.


Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage.

Kashima T, Akiyama H, Miura F, Kishi S - Clin Ophthalmol (2011)

Photograph 1 month postoperatively. (A) The conjunctivochalasis has resolved, but slight conjunctival injection remains. (B) A white scar has formed in the coagulated region and is accompanied by mild injection. Conjunctival injection tends to be prolonged in patients with keratoconjunctivitis sicca.
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Related In: Results  -  Collection

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getmorefigures.php?uid=PMC3198412&req=5

f4-opth-5-1391: Photograph 1 month postoperatively. (A) The conjunctivochalasis has resolved, but slight conjunctival injection remains. (B) A white scar has formed in the coagulated region and is accompanied by mild injection. Conjunctival injection tends to be prolonged in patients with keratoconjunctivitis sicca.
Bottom Line: The mean postoperative symptom score obtained from the questionnaire was 3.27 ± 3.31, which was significantly lower than the preoperative score (P < 0.0001).Thermal cauterization can achieve conjunctival shrinkage and adherence to the subconjunctival tissues.Operation time is only a few minutes, postoperative pain is not severe, and the procedure can be performed in an outpatient clinic, all of which represent benefits to the patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Gunma University School of Medicine, Gunma, Japan. kasimatomoyuki@yahoo.co.jp

ABSTRACT

Purpose: To evaluate the improvement in subjective symptoms of conjunctivochalasis after bipolar coagulation.

Methods: Forty-three eyes of 26 patients (average age, 75.7 ± 8.4 years) were included in this study. The inferior conjunctivas were cauterized between April 2009 and June 2010. Surgery involved pinching the excess conjunctiva and performing bipolar cauterization after subconjunctival injection of a local anesthetic agent. Patients were asked to describe the postoperative foreign-body sensation and change in subjective symptoms 1 month postoperatively, with the preoperative symptom score defined as 10.

Results: Twenty-two patients (84.6%) reported symptom relief immediately after the procedure, though all patients had a mild gritty sensation for 1-2 weeks postoperatively. The mean postoperative symptom score obtained from the questionnaire was 3.27 ± 3.31, which was significantly lower than the preoperative score (P < 0.0001). No patients had experienced recurrent symptoms at the end of the follow-up period.

Conclusion: Thermal cauterization can achieve conjunctival shrinkage and adherence to the subconjunctival tissues. Operation time is only a few minutes, postoperative pain is not severe, and the procedure can be performed in an outpatient clinic, all of which represent benefits to the patients.

No MeSH data available.


Related in: MedlinePlus