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2018 ; 48
(2
): 61-65
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Comparison of Electrocoagulation and Conventional Medical Drops for Treatment of
Conjunctivochalasis: Short-Term Results
#MMPMID29755817
Ça?layan M
; Kösekahya P
; Gürdal C
; Saraç Ö
Turk J Ophthalmol
2018[Apr]; 48
(2
): 61-65
PMID29755817
show ga
OBJECTIVES: To compare the effectiveness of electrocoagulation and conventional
medical drops for treatment of conjunctivochalasis using anterior segment-optical
coherence tomography (AS-OCT). MATERIALS AND METHODS: Forty eyes of 20 patients
with bilateral conjunctivochalasis were included in this prospective study.
Twenty eyes of 10 patients were assigned to Group 1 and underwent
electrocoagulation. The other 20 eyes of 10 patients were assigned to Group 2 and
received conventional medical treatment consisting of non-steroidal
antiinflammatory drop (topical 0.5% ketorolac tromethamine) 4 times a day and
artificial tears (0.15% sodium hyaluronate) 6 times a day for 4 weeks. Before and
4 weeks after treatment, all patients were evaluated by slit-lamp biomicroscopy,
tear film break-up time (TBUT) test, and ocular surface disease index (OSDI)
questionnaire. Tear meniscus height (TMH), tear meniscus area (TMA), and
conjunctivochalasis area (CCA) were measured with AS-OCT. RESULTS: In Group 1,
posttreatment values of TMH, TMA, and TBUT were significantly higher (p<0.001,
p=0.006, and p<0.001, respectively), while CCA and OSDI scores were significantly
lower than pretreatment values (p<0.001 for both values). In Group 2, only OSDI
decreased significantly between pretreatment and posttreatment values (p<0.001).
The other parameters did not change significantly after treatment (p>0.05 for all
values). CONCLUSION: Electrocoagulation is an effective modality for treatment of
conjunctivochalasis.