title: Removal of conjunctival cyst with high-frequency radio-wave electrosurgery.
abstract: OBJECTIVE
  To introduce a new simple surgical approach for removal of conjunctival cysts with high-frequency radio-wave electrosurgery.
  
  
  METHODS
  Retrospective, noncomparative, interventional case series analysis.
  
  
  METHODS
  Twenty-one eyes of 21 patients.
  
  
  METHODS
  Symptomatic conjunctival cysts, which did not show improvement despite conventional medical management or other surgical procedures were included. The conjunctival cysts were treated using a high-frequency radio-wave electrosurgical unit (Ellman Surgitron; Ellman International Inc, Oceanside, N.Y.). The conjunctiva surrounding the conjunctival cyst was grasped and lifted up using a smooth forcep and a fine-needle electrode (Ellman Insulated Needle Electrodes D6A; Ellman International Inc) was inserted into the cyst. A power setting of 0.5 to 1 was used for coagulation of cysts, without charring the tissue.
  
  
  RESULTS
  After surgery, none of the patients had recurrence of conjunctival cysts during the follow-up period of 6 months, and symptoms also disappeared. The surgery did not exceed 5 minutes in all cases, and subconjunctival hemorrhage was observed in 1 case. Subconjunctival hemorrhage had completely resolved within 2 weeks and no other complications were observed.
  
  
  CONCLUSIONS
  A surgical approach with high-frequency radio-wave electrosurgery successfully removed conjunctival cysts and produced improvement in symptoms. High-frequency radio-wave surgical techniques might be a favourable alternative to surgical treatment of conjunctival cysts.
authors.affiliation: Dongguk University Gyeongju Hospital, Gyeongju-si, South Korea.
authors.forename: Jongyeop
authors.initials: J
authors.lastname: Park
authors.affiliation: Dongguk University Gyeongju Hospital, Gyeongju-si, South Korea.
authors.forename: Seungwoo
authors.initials: S
authors.lastname: Lee
authors.affiliation: Dongguk University Gyeongju Hospital, Gyeongju-si, South Korea. Electronic address: suksu57@naver.com.
authors.forename: Eoksoo
authors.initials: E
authors.lastname: Suh
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D058128:Compression Bandages; D003229:Conjunctival Diseases / Q000473:pathology / Q000601:surgery*; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D004598:Electrosurgery / Q000379:methods*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D000078702:Radiofrequency Therapy; D012189:Retrospective Studies
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids