Surgical techniques for the treatment of conjunctivochalasis: paste-pinch-cut conjunctivoplasty versus thermal cautery conjunctivoplasty
| Autor: | Setareh Ziai, Yelin Yang, Kashif Baig, Ronan Conlon, Javiera Compan, Esteban Santiago |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Corneal staining Scoring system Cautery Ophthalmologic Surgical Procedures Conjunctival Diseases 03 medical and health sciences 0302 clinical medicine medicine Humans Prospective Studies Prospective cohort study Aged business.industry Follow up studies Mean age General Medicine Conjunctivochalasis Plastic Surgery Procedures medicine.disease Surgery Ophthalmology Left eye 030104 developmental biology Treatment Outcome 030221 ophthalmology & optometry Female business Medical therapy Conjunctiva Follow-Up Studies |
| Zdroj: | Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. 52(3) |
| ISSN: | 1715-3360 |
| Popis: | Objective The aim of this study was to evaluate the outcomes of paste-pinch-cut conjunctivoplasty and cautery conjunctivoplasty for the treatment of symptomatic conjunctivochalasis. Design This was a prospective cohort study. Participants Sixteen patients (32 eyes) with bilateral conjunctivochalasis that was symptomatic after medical therapy were enrolled in the study. Methods This was a single-centre, contralateral eye, prospective study. Paste-pinch-cut conjunctivoplasty was performed in the left eye, and thermal cautery conjunctivoplasty was performed in the right eye. The outcomes of each procedure were compared preoperatively and at the 1-month follow-up by using the Canadian Dry Eye Assessment (CDEA) scoring system, standard conjunctivochalasis grading, and corneal staining. Intraoperative discomfort and immediate postoperative discomfort were assessed by using a 10-point scale. Results The mean age of patients was 72.4 ± 8.67 years. Conjunctival redundancy was absent in 14 of 16 patients postoperatively. The mean CDEA score improved after both procedures (7.1 ± 2.8 preoperatively versus 4.5 ± 0.78 at the 1-month follow-up for cautery conjunctivoplasty, 7.4 ± 2.5 versus 4.9 ± 3.1 for paste-pinch-cut conjunctivoplasty). This improvement was statistically significant in the cautery conjunctivoplasty group ( p = 0.012). Mean intraoperative discomfort was 2.6 ± 2.1 with the use of paste-pinch-cut conjunctivoplasty and 3.5 ± 3.2 with the use of cautery conjunctivoplasty; however, the difference was not statistically significant. No intraoperative or postoperative complications were observed with either technique. Conclusions Paste-pinch-cut and thermal cautery conjunctivoplasty are both safe and effective surgical treatments for the repair of conjunctivochalasis, with patients reporting greater improvement in symptoms after the cautery technique. |
| Databáze: | OpenAIRE |
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