The effect of conjunctivochalasis correction with electrosurgery on dry eye disease

Session Details

Session Title: Presented Poster Session: Cornea: Surgical

Venue: Poster Village: Pod 3

First Author: : Y.Ji SOUTH KOREA

Co Author(s): :    K. Seo                       

Abstract Details

Purpose:

To determine the effect of conjunctivochalasis (CCh) correction using high-frequency radio-wave electrosurgery on the clinical signs and symptoms in patients with dry eye disease (DED)

Setting:

Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea

Methods:

Thirty patients (30 eyes) diagnosed with DED with CCh were enrolled. All eyes were evaluated using the Ocular Surface Disease Index (OSDI), corneal erosion score (CES), tear film break-up time (TBUT), and lid parallel conjunctival folds grade (LIPCOF; at nasal/ central/ temporal). Tear meniscus cross-sectional area (TMA; at nasal/ central/ temporal) using anterior segment optical coherence tomography and meibomian gland (MG) dropout grade and lipid layer thickness (LLT) using LipiView II® interferometer were measured. Patients received complete ophthalmic examinations preoperatively and over 1 month postoperatively.

Results:

CCh of all DED patients were resolved completely at 1 month postoperatively as confirmed by LIPCOF and OCT image. TMA improved significantly at all part of lid margin. In addition, OSDI, TBUT and CES were significantly better than before the surgery, but not MG dropout and LLT. Interestingly, in preoperative status, only nasal LIPCOF significantly correlated with OSDI as well as CES and nasal TMA. Furthermore, central LIPCOF showed significant correlations with MG dropout and LLT as well as TBUT. Temporal LIPCOF had significant relevance to TBUT, CES, and MG dropout.

Conclusions:

CCh deteriorates the functions of tear reservoirs and lower MGs, resulting in DED exacerbation. Therefore, it should be corrected particularly in patients with DED and high-frequency radio wave electrosurgery can be effective modality

Financial Disclosure:

None