PURPOSE: To describe a new surgical technique for the repair of conjunctivochalasis (CCh) using subconjunctival injection of fibrin sealant followed by conjunctival resection and to present a case series demonstrating our experience with the paste-pinch-cut technique. METHODS: A total of 139 eyes of 70 patients (43 women, 27 men) with CCh unresponsive to medical therapy received the described surgical treatment. The procedure consists of 3 primary steps-paste: fibrin sealant is injected subconjunctivally in a line inferior to the limbus; pinch: the conjunctiva is grasped with curved ptosis forceps, gathering the excess conjunctiva into a ridge, which is held, allowing the sealant to polymerize; and cut: the ridge of excess conjunctiva and sealant is resected. Subjective symptoms were assessed after surgery. RESULTS: Conjunctival redundancy was absent postoperatively in all eyes, resulting in a smooth conjunctival surface and restored tear meniscus. At the 3-month follow-up visit, 91.4% of patients reported improvement in symptoms. There were no recurrences or significant complications. CONCLUSIONS: The present retrospective, noncomparative, consecutive, interventional case series study introduces paste-pinch-cut conjunctivoplasty as a simple and an effective surgical treatment for the repair of CCh in symptomatic patients.
PURPOSE: To describe a new surgical technique for the repair of conjunctivochalasis (CCh) using subconjunctival injection of fibrin sealant followed by conjunctival resection and to present a case series demonstrating our experience with the paste-pinch-cut technique. METHODS: A total of 139 eyes of 70 patients (43 women, 27 men) with CCh unresponsive to medical therapy received the described surgical treatment. The procedure consists of 3 primary steps-paste: fibrin sealant is injected subconjunctivally in a line inferior to the limbus; pinch: the conjunctiva is grasped with curved ptosis forceps, gathering the excess conjunctiva into a ridge, which is held, allowing the sealant to polymerize; and cut: the ridge of excess conjunctiva and sealant is resected. Subjective symptoms were assessed after surgery. RESULTS: Conjunctival redundancy was absent postoperatively in all eyes, resulting in a smooth conjunctival surface and restored tear meniscus. At the 3-month follow-up visit, 91.4% of patients reported improvement in symptoms. There were no recurrences or significant complications. CONCLUSIONS: The present retrospective, noncomparative, consecutive, interventional case series study introduces paste-pinch-cut conjunctivoplasty as a simple and an effective surgical treatment for the repair of CCh in symptomatic patients.
Authors: Anny M S Cheng; Han Y Yin; Rendian Chen; Sean Tighe; Hosam Sheha; Dandan Zhao; Victoria Casas; Scheffer C G Tseng Journal: Cornea Date: 2016-06 Impact factor: 2.651
Authors: Jianlong Yang; Rahul Chandwani; Varun Gopinatth; Tim Boyce; Stephen C Pflugfelder; David Huang; Gangjun Liu Journal: Sci Rep Date: 2018-03-01 Impact factor: 4.379