热凝法治疗下睑结膜松弛症。

Thermocautery for inferior conjunctivochalasis.

机构信息

Department of Ophthalmology, Miura Municipal Hospital, Miura, Japan.

出版信息

Cornea. 2012 May;31(5):514-9. doi: 10.1097/ICO.0b013e3181dc81d2.

DOI:10.1097/ICO.0b013e3181dc81d2

PMID:22245977

Abstract

PURPOSE

To describe a thermocautery technique to treat symptomatic inferior conjunctivochalasis.

METHODS

Thirty-nine eyes of 23 patients with symptomatic inferior conjunctivochalasis were treated with thermocautery. The mean age of the patients was 78.6 ± 5.4 years (±SD) with a range of 69-89 years. Patients with symptomatic inferior conjunctivochalasis were initially treated with topical medication, and the eyes that were unresponsive underwent a ligation test. We treated those eyes in which symptoms improved or disappeared during the ligation test. The redundant bulbar conjunctival tissue was grasped with smooth forceps and cauterized with the OPTEMP variable low temperature cauterizer until the redundant conjunctival tissue was gone. The mean follow-up period was 469.5 ± 234.6 days (range, 101-823 days).

RESULTS

After the thermocautery, the symptoms disappeared in 36 of 39 eyes (92.3%) and improved in the remaining 3 eyes (7.7%). The conjunctival laxity disappeared in 36 of 39 eyes (92.3%) and improved in 3 eyes (7.7%). There were no recurrences of the conjunctival laxity during the follow-up period.

CONCLUSIONS

Thermocautery is a simple and effective treatment for symptomatic inferior conjunctivochalasis.

摘要

目的

描述一种治疗症状性下结膜松弛症的热凝固治疗技术。

方法

对 23 例（39 只眼）症状性下结膜松弛症患者行热凝固治疗。患者的平均年龄为 78.6±5.4 岁（±标准差），年龄范围为 69-89 岁。对有症状性下结膜松弛症的患者首先进行局部药物治疗，对无反应的患者进行结扎试验。我们对那些在结扎试验过程中症状改善或消失的眼睛进行治疗。用光滑的镊子夹住多余的球结膜组织，用 OPTEMP 可变低温凝固器进行凝固，直到多余的结膜组织消失。平均随访时间为 469.5±234.6 天（范围为 101-823 天）。