Surgical Techniques for Treatment of Conjunctivochalasis

Saturday, April 18, 2015: 1:36 PM
Room 3 (San Diego Convention Center)
Esteban Santiago, MD
Ronan J. Conlon, MD
Javiera M. Compan, MD
Kashif Baig, MD, FRCSC
Setareh Ziai, MD, FRCSC

The purpose of this study is to evaluate the outcomes of two different surgical techniques for the treatment of conjunctivochalasis.

The study was conducted as a single centre, prospective randomized trial. Ten patients with bilateral conjunctivochalasis were identified. Two different surgical techniques were performed: paste-pinch-cut conjunctivoplasty in the left eye and cautery conjunctivoplasty in the right eye. The outcomes of each procedure were compared, utilizing the Canadian Dry Eye Assessment (CDEA). In addition, intraoperative discomfort was assessed using a 10-point scale. Descriptive and inferential statistics will be performed.

Mean CDEA score improved from 7.2 ± 3.37 preoperatively, to 6.3 ± 2.3 at 1 month postoperatively in patients who underwent paste-pinch-cut conjunctivoplasty. In patients who underwent cautery conjunctivoplasty, mean CDEA score improved from 7.3 ± 3.34 to 5.83 ± 2.71 at 1 month postoperatively. No statistically significant difference in CDEA score was observed between the two techniques.  Mean intraoperative discomfort was 2.8 ± 2.2 using paste-pinch-cut conjunctivoplasty and 3.2 ± 3.5 using cautery conjunctivoplasty, however the difference was not statistically significant. No intraoperative or postoperative complications were observed with either technique.

Our preliminary results suggest that both techniques are equivalent in relieving symptoms of conjunctivochalasis.