The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease

Abstract We aimed to determine the clinical impact of conjunctivochalasis (CCh) and its correction using high-frequency radiowave electrosurgery (HFR-ES), for signs and symptoms of dry eye disease (DED). Forty patients diagnosed with symptomatic CCh were prospectively enrolled. As a result, patients...

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Autores principales:	Yong Woo Ji, Hyojin Seong, Sujung Lee, Mutlaq Hamad Alotaibi, Tae-im Kim, Hyung Keun Lee, Kyoung Yul Seo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e086251eea6440b48a41631f67f2fb31
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spelling	oai:doaj.org-article:e086251eea6440b48a41631f67f2fb312021-12-02T10:48:22ZThe correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease10.1038/s41598-021-82088-52045-2322https://doaj.org/article/e086251eea6440b48a41631f67f2fb312021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82088-5https://doaj.org/toc/2045-2322Abstract We aimed to determine the clinical impact of conjunctivochalasis (CCh) and its correction using high-frequency radiowave electrosurgery (HFR-ES), for signs and symptoms of dry eye disease (DED). Forty patients diagnosed with symptomatic CCh were prospectively enrolled. As a result, patients with CCh had moderate to severe DED and most of them exhibited meibomian gland dysfunction (MGD). Corneo-conjunctival fluorescein staining score (CFS) and all lid-parallel-conjunctival-folds scores (LIPCOFs) were positively correlated. Nasal LIPCOF significantly correlated with symptoms and tear volume. Central, temporal, and total LIPCOF significantly correlated with MG loss, MGD stage, and lipid layer thickness. Independent significant factors associated with total LIPCOF included CFS, tear break-up time, and MGD stage. One month following HFR-ES, CCh was completely resolved in all cases. Patient age and preoperative nasal LIPCOF were determinants of outcomes associated with postoperative improvements in symptoms. Ocular surface parameters significantly improved, but MGD-related signs did not. Collectively, CCh associated with MGD severity deteriorates not only tear film stability and reservoir capacity, leading to DED exacerbation. Therefore, CCh should be corrected in patients with DED and MGD. Younger patients with nasal CCh are likely to experience more symptomatic relief after HFR-ES. Particularly, management for MGD should be maintained after CCh correction.Yong Woo JiHyojin SeongSujung LeeMutlaq Hamad AlotaibiTae-im KimHyung Keun LeeKyoung Yul SeoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yong Woo Ji Hyojin Seong Sujung Lee Mutlaq Hamad Alotaibi Tae-im Kim Hyung Keun Lee Kyoung Yul Seo The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
description	Abstract We aimed to determine the clinical impact of conjunctivochalasis (CCh) and its correction using high-frequency radiowave electrosurgery (HFR-ES), for signs and symptoms of dry eye disease (DED). Forty patients diagnosed with symptomatic CCh were prospectively enrolled. As a result, patients with CCh had moderate to severe DED and most of them exhibited meibomian gland dysfunction (MGD). Corneo-conjunctival fluorescein staining score (CFS) and all lid-parallel-conjunctival-folds scores (LIPCOFs) were positively correlated. Nasal LIPCOF significantly correlated with symptoms and tear volume. Central, temporal, and total LIPCOF significantly correlated with MG loss, MGD stage, and lipid layer thickness. Independent significant factors associated with total LIPCOF included CFS, tear break-up time, and MGD stage. One month following HFR-ES, CCh was completely resolved in all cases. Patient age and preoperative nasal LIPCOF were determinants of outcomes associated with postoperative improvements in symptoms. Ocular surface parameters significantly improved, but MGD-related signs did not. Collectively, CCh associated with MGD severity deteriorates not only tear film stability and reservoir capacity, leading to DED exacerbation. Therefore, CCh should be corrected in patients with DED and MGD. Younger patients with nasal CCh are likely to experience more symptomatic relief after HFR-ES. Particularly, management for MGD should be maintained after CCh correction.
format	article
author	Yong Woo Ji Hyojin Seong Sujung Lee Mutlaq Hamad Alotaibi Tae-im Kim Hyung Keun Lee Kyoung Yul Seo
author_facet	Yong Woo Ji Hyojin Seong Sujung Lee Mutlaq Hamad Alotaibi Tae-im Kim Hyung Keun Lee Kyoung Yul Seo
author_sort	Yong Woo Ji
title	The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
title_short	The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
title_full	The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
title_fullStr	The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
title_full_unstemmed	The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
title_sort	correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/e086251eea6440b48a41631f67f2fb31
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The correction of conjunctivochalasis using high-frequency radiowave electrosurgery improves dry eye disease

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