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

Tomoyuki Kashima1,2, Hideo Akiyama1, Fumihide Miura2, Shoji Kishi11Department of Ophthalmology, Gunma University School of Medicine, Gunma, Japan; 2Department of Ophthalmology, Saku Central Hospital, Nagano, JapanPurpose: To evaluate the improvement in subjective symptoms of conjunctivochalasis afte...

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Autores principales:	Kashima T, Akiyama H, Miura F, Kishi S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7ff56a6262dc473b8b039aa8db17a1bc
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spelling	oai:doaj.org-article:7ff56a6262dc473b8b039aa8db17a1bc2021-12-02T09:06:49ZImproved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage1177-54671177-5483https://doaj.org/article/7ff56a6262dc473b8b039aa8db17a1bc2011-09-01T00:00:00Zhttp://www.dovepress.com/improved-subjective-symptoms-of-conjunctivochalasis-using-bipolar-diat-a8343https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tomoyuki Kashima1,2, Hideo Akiyama1, Fumihide Miura2, Shoji Kishi11Department of Ophthalmology, Gunma University School of Medicine, Gunma, Japan; 2Department of Ophthalmology, Saku Central Hospital, Nagano, JapanPurpose: To evaluate the improvement in subjective symptoms of conjunctivochalasis after bipolar coagulation.Methods: Forty-three eyes of 26 patients (average age, 75.7 &plusmn; 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&ndash;2 weeks postoperatively. The mean postoperative symptom score obtained from the questionnaire was 3.27 &plusmn; 3.31, which was significantly lower than the preoperative score (P &lt; 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.Keywords: coagulation, cauterization, conjunctival injection&nbsp;Kashima TAkiyama HMiura FKishi SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1391-1396 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kashima T Akiyama H Miura F Kishi S Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
description	Tomoyuki Kashima1,2, Hideo Akiyama1, Fumihide Miura2, Shoji Kishi11Department of Ophthalmology, Gunma University School of Medicine, Gunma, Japan; 2Department of Ophthalmology, Saku Central Hospital, Nagano, JapanPurpose: To evaluate the improvement in subjective symptoms of conjunctivochalasis after bipolar coagulation.Methods: Forty-three eyes of 26 patients (average age, 75.7 &plusmn; 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&ndash;2 weeks postoperatively. The mean postoperative symptom score obtained from the questionnaire was 3.27 &plusmn; 3.31, which was significantly lower than the preoperative score (P &lt; 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.Keywords: coagulation, cauterization, conjunctival injection&nbsp;
format	article
author	Kashima T Akiyama H Miura F Kishi S
author_facet	Kashima T Akiyama H Miura F Kishi S
author_sort	Kashima T
title	Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
title_short	Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
title_full	Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
title_fullStr	Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
title_full_unstemmed	Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
title_sort	improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/7ff56a6262dc473b8b039aa8db17a1bc
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Improved subjective symptoms of conjunctivochalasis using bipolar diathermy method for conjunctival shrinkage

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