New Approach for Conjunctivochalasis Using an Argon Green Laser
Aged, 80 and over
Male
Middle Aged
Conjunctival Diseases
03 medical and health sciences
Treatment Outcome
0302 clinical medicine
Lasers, Gas
Humans
Dry Eye Syndromes
Female
Laser Therapy
Conjunctiva
Aged
DOI:
10.1097/ico.0b013e318255eaaa
Publication Date:
2012-08-28T10:05:33Z
AUTHORS (2)
ABSTRACT
To evaluate the effectiveness of conjunctivoplasty using an argon green laser in symptomatic patients with conjunctivochalasis (CCh).Twenty-nine eyes of 18 patients with various grades of CCh were included in this study. All the patients, who were refractory to the conventional therapy, were treated using an argon green laser. The ocular symptoms and signs, including the CCh grade, the tear Ocular Surface Disease Index, the breakup time, the Schirmer test, and the abnormal ocular surface findings, were evaluated preoperatively and postoperatively.The mean age of the patients was 69.1 ± 8.4 years. The grade of CCh in 25 eyes (86%) decreased at 6 months after the laser conjunctivoplasty. When the grade reduction rates were calculated, the reduction rates of grades 1, 2, and 3 were 100%, 69%, and 48%, respectively. Most of the patients showed a significant symptomatic improvement, and the Ocular Surface Disease Index scores decreased from 0.41 to 0.22 (P < 0.001). The breakup time increased from 9.1 to 10.2 (P = 0.007), but the Schirmer test results did not show any differences after the surgery (P = 0.257).Conjunctivoplasty using an argon green laser is a simple and effective choice to treat symptomatic patients with CCh, especially in cases of mild-to-moderate grade CCh.
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