title: Electrocoagulative surgical procedure for treatment of conjunctivochalasis.
abstract: The purpose of this study was to present a new procedure to treat symptomatic conjunctivochalasis (CCh) and to evaluate its efficacy. Forty-two patients with symptomatic CCh refractory to medical management were included on this study. Twenty-two patients (n  =  32, eyes; n  =  14 women and n  =  8 men) underwent the new electrocoagulation procedure (group I). Twenty patients (n  =  27 eyes; n  =  11 women and n  =  9 men) underwent crescent-shaped conjunctiva resection (group II). Ocular surface disease index (OSDI) was used to evaluate ocular symptoms. There was a significant difference in mean and SD operation time between group I (8.67 ± 2.07 minutes) and group II (20.45 ± 3.98 minutes; P < 0.0001). OSDI scores (mean ± SD) were significantly lower in group I (28.38 ± 3.14) than group II (31.62 ± 3.17) at postoperative week 2 (P  =  0.0004). No differences in OSDI scores were found between the 2 groups at postoperative week 4 (P  =  0.1749) or 8 (P  =  0.1483). OSDI scores were significantly lower at postoperative week 8 than at baseline in both group I (P  =  0.0002) and group II (P  =  0.0011). Electrocoagulation of the conjunctiva can successfully treat symptomatic CCh with earlier symptomatic attenuation and less operation time than traditional conjunctiva resection.
authors.affiliation: Department of Ophthalmology, Putuo Hospital, Shanghai Chinese Traditional Medicine University, Shanghai, China. zzyly818@sina.com
authors.forename: Xing-Ru
authors.initials: XR
authors.lastname: Zhang
authors.forename: Zhen-Yong
authors.initials: ZY
authors.lastname: Zhang
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Hoffman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva / Q000601:surgery*; D003229:Conjunctival Diseases / Q000601:surgery*; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D016896:Treatment Outcome