DR.VENKATAPRABHAKAR GUDURU

Dr. SUMANTH REDDY

Abstract

purpose-Conjunctivochalasis is associated with disruption of the tear meniscus,different surgical procedures such as simple excision,scleral fixation,bipolar cautery but these procedures have prolonged surgery,postop discomfort, suture-related complications.we describe a simple technique.

methods-On the inferior bulbar conjunctiva, retroconjunctival coagulation was performed with a fine needle electrode using a radiofrequency cautery unit in coagulation mode.16 pts (28 eyes) were included in the study, patients were followed up for 6 months after surgery and evaluated.results – 28 eyes recovered a smooth, wet, and noninflamed conjunctival surface within 1 month and remained stable. At last follow up,28 eyes had grade 0 CCh with a statistically significant improvement in symptoms.

conclusion-This new technique of retroconjunctival RF cautery proves to be simple and effective in the reversal of conjunctival contour and establishing tear stability thus reducing patient’s symptoms.

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