Curettage for Copious Conjunctival Concretions

Abstract

Management of multiple exposed eyelid concretions can be performed successfully in an anesthetized eyelid with gentle curettage of the concretions using a small chalazion curette. It has the advantage of managing the patient supine, providing better eyelid stability and visibility, and minimizing risk in the event of patient movement. This curettage technique was used to facilitate the successful resolution of a patient's ocular surface irritative symptomatology due to multiple exposed concretions.

Evaluation of Plasma Assisted Noninvasive Surgery (PANIS) as a New Approach for the Treatment of Conjunctival Concretions; A Clinical Case Series

“…(1,3) This disease is often asymptomatic, but prominent concretions cause abrasion, pain, redness, photophobia, blurred vision, and corneal ulceration. (4) The eye specialist usually makes a diagnosis with everting the upper and lower eyelids. In cases where conjunctival concretions cause annoying complaints, these concretions need to be removed by local anesthesia (e.g., topical tetracaine 0.5%) with a 25G sterile needle behind the slit lamp.…”

“…In cases where conjunctival concretions cause annoying complaints, these concretions need to be removed by local anesthesia (e.g., topical tetracaine 0.5%) with a 25G sterile needle behind the slit lamp. (4,5) Rarely, in cases where there are a lot and large concretions, surgery is performed in the operating room and under anesthesia. In general, there is not much variety in surgical methods for this disease, and most patients are treated as an o ce base method with a needle, which is almost aggressive.…”

“…(14) People who complain of these symptoms are usually treated. The usual treatment method is using a 25G sterile needle and local anesthesia to extract lesions (4).…”

Evaluation of Plasma Assisted Noninvasive Surgery (PANIS) As a New Approach for the Treatment of Conjunctival Concretions: A Clinical Case Series

“…Even though few studies have been done in this field, its prevalence has been reported up to 40% [1,3] . This disease is often asymptomatic, but prominent concretions cause abrasion, pain, redness, photophobia, blurred vision, and corneal ulceration [4] . The eye specialist usually makes a diagnosis with everting the upper and lower eyelids.…”

“…The eye specialist usually makes a diagnosis with everting the upper and lower eyelids. In cases where conjunctival concretions cause annoying complaints, these concretions need to be removed by local anesthesia (e.g., topical tetracaine 0.5%) with a 25G sterile needle behind the slit lamp [4,5] . Rarely, in cases where there are a lot and large concretions, surgery is performed in the operating room and under anesthesia.…”