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New Approach for Conjunctivochalasis Using an Argon Green Laser

Yang, Hyun Seung MD; Choi, Sangkyung MD

doi: 10.1097/ICO.0b013e318255eaaa
Clinical Science

Purpose: To evaluate the effectiveness of conjunctivoplasty using an argon green laser in symptomatic patients with conjunctivochalasis (CCh).

Methods: 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.

Results: 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).

Conclusions: 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.

Department of Ophthalmology, Seoul Veterans Hospital, Seoul, Korea.

Reprints: Sangkyung Choi, Department of Ophthalmology, Seoul Veterans Hospital, Doonchon2-dong, Gangdong-gu, Seoul 134-791, Korea (e-mail: drskchoi@hanmail.net).

Presented at the 106th annual meeting of the Korean Ophthalmological Society, November 4–6, 2011, Ilsan KINTEX, Kyungkido, Korea.

The authors state that they have no financial supports or conflicts of interest.

Received February 5, 2012

Accepted March 15, 2012

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.