title: Simple surgical approach with high-frequency radio-wave electrosurgery for conjunctivochalasis.
abstract: OBJECTIVE
  To introduce a new simple surgical approach with high-frequency radio-wave electrosurgery to reduce conjunctivochalasis (CCh).
  
  
  METHODS
  Prospective, noncomparative, interventional case series analysis.
  
  
  METHODS
  Twelve patients (20 eyes) with CCh were recruited from the outpatient service of the Department of Ophthalmology, Kangbuk Samsung Hospital, Seoul, Korea.
  
  
  METHODS
  On the inferior bulbar conjunctiva, subconjunctival coagulation was performed with a fine-needle electrode using a high-frequency radio-wave electrosurgical unit (Ellman Surgitron; Ellman International, Inc., Hewlett, NY) in coagulation mode.
  
  
  METHODS
  Conjunctivochalasis grade; epiphora and dry eye symptoms (the Ocular Surface Disease Index [OSDI]; Allergan Inc., Irvine, CA, holds the copyright); and intraoperative and postoperative complications.
  
  
  RESULTS
  Eighteen eyes (90%) recovered a smooth, wet, and noninflamed conjunctival surface within 1 month and remained stable for a follow-up period of 3 months. At 3 months postoperatively, 18 eyes (90%) had grade 0 CCh. There was a statistically significant decrease of the OSDI score at 3 months postoperatively (P < 0.001).
  
  
  CONCLUSIONS
  A surgical approach with high-frequency radio-wave electrosurgery produced a significant reduction in CCh and an improvement in symptoms. Radio-wave surgical techniques represent a favorable alternative to surgical treatment of CCh.
  
  
  BACKGROUND
  The author(s) have no proprietary or commercial interest in any materials discussed in this article.
authors.affiliation: Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea.
authors.forename: Dong Ju
authors.initials: DJ
authors.lastname: Youm
authors.forename: Joon Mo
authors.initials: JM
authors.lastname: Kim
authors.forename: Chul Young
authors.initials: CY
authors.lastname: Choi
mesh_terms: D000368:Aged; D003229:Conjunctival Diseases / Q000145:classification / Q000601:surgery*; D004598:Electrosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D011446:Prospective Studies; D011846:Radio Waves; D016896:Treatment Outcome