Evaluation of efficacy of plasma assisted noninvasive surgery (PANIS) as a novel approach for temporary punctal occlusion: a clinical case series

Nejat, Farhad; Jadidi, Khosrow; Eghtedari, Shima; Nabavi, Nazanin-Sadat

doi:10.54647/cm32620

Cited by 8 publications

(13 citation statements)

References 36 publications

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“…Vision parameters has not been change in all three patients, although they have not much potential vision. Despite of the novelty of this method, researchers have recently shown that it can be a suitable replacement for some treatments [12,22] (11,22). Nevertheless, the present study is a case study, and a clinical trial is needed to compare this method with other treatments.…”

Section: Discussionmentioning

confidence: 94%

“…This method introduced as an effective, safe and simple method for treating dry eye disease with occluding punctum, and research showed that plasma could be a temporary practical treatment. This method could control dry eye by retaining tears on the ocular surface [22]. Other researchers used plasma technology for some treatments like blepharoplasty [23,24].…”

Section: Discussionmentioning

confidence: 99%

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2022

IJHMS

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Purpose: Pseudophakic bullous keratopathy (PBK) is one of the unintended side effects of intraocular surgeries and traumas. This study aims to evaluate plasma as a noninvasive procedure for PBK diseases through drainage of painful and annoying bullae. Methods: Three eyes of three patients with no vision potential were included in this study. Plasma spots are applied on bullae to empty the fluid inside, and also to attach the top of the bullae to the bottom. We evaluated Pain scores, tearing, and burning sensations (scale of 0 to 10) before treatment and one week, one month, and six months after treatment. Results: The results showed that all the annoying bullae entirely eliminated in all patients. No complications and recurrence were observed during the operation and one week, one month, and six months after the procedure. After treatment, there was no tearing and burning sensation. All of the patients scored ten for pain before treatment and zero after treatment. There were no changes in the vision of the patients after treatment. Conclusions: Based on the results, the PANIS method can be used as a safe method for eliminating bullae which are not a good candidate for vision amelioration treatment. This method is safe, quick, office base and inexpensive, which can decrease pain in these patients.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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2022

IJHMS

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“…Recently, plasma radiofrequency ablation has been used to remove various nevi in different parts of the body such as skin and around the eye and its safety has been discovered (33,34). Based on our previous studies on the PANIS method and its e cacy, it has shown that this method can be a minimally invasive technique for various ocular surface disorders (10)(11)(12)(13)(14)(15). Therefore; in this case report, we are presenting a new approach for conjunctival nevus ablation using the PANIS method with AMT in a young adult.…”

Section: Discussionmentioning

confidence: 99%

“…Using plasma-assisted noninvasive surgery (PANIS) is a promising technique in various ocular surface disorders. Conjunctival cyst, conjunctivochalasis, pinguecula, and dry eye treatment with temporary punctal occlusion have been discussed with the PANIS method in our previous articles (10)(11)(12)(13)(14)(15). Currently, the PANIS method has been used to remove pterygium with amniotic membrane transplantation (AMT) as a new approach (16).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Plasma-Assisted Noninvasive Surgery (PANIS) as a New Technique for Sublimating Large Benign Conjunctival Nevus with Amniotic Membrane Transplantation (AMT); A Clinical Case Report

Nejat¹,

Jadidi²,

Eghtedari³

et al. 2022

J Surg Res

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Background: conjunctival nevi are benign ocular lesions with a low risk of malignant transformation to melanoma. Due to cosmetic reasons patients usually consider surgical removal options. In this case report, we are presenting a new approach using plasma-assisted noninvasive surgery (PANIS) with amniotic membrane transplantation (AMT) to sublimate the nevus border and fuse the AMT with the remaining conjunctiva.Case presentation: A 33-year-old man with a history of large conjunctival nevus in his left eye, that its benignity was proved by an expert ophthalmologist through years of examination, has visited our center in September 2020. Plasma spots were used to sublimate the nevus border and fuse AMT with the conjunctiva. The patient was discharged fully satis ed without any complications and no recurrences were seen in a year of follow-up. Visual parameters were not signi cantly changed while the Ocular Surface Disease Index (OSDI) was reduced dramatically.Conclusion: Conjunctival nevi removal using the PANIS method with AMT is a safe, minimally invasive, and inexpensive therapeutic option. Plasma spots are suitable for AMT adhesion to the remaining conjunctiva after the nevus removal.

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“…We have previously investigated the safety and efficacy of using plasma on ocular surface disorders in animal models [12,13]. We also achieved to perform successful interventions for treating conjunctival cyst [14], pinguecula [15], conjunctivochalasis (CCh) [16] and DED treatment with temporary punctal occlusion [17] by a Plasma Assisted Noninvasive Surgery (PANIS) as an effective method in managing OSDs that was introduced by our group for the first time.…”

Section: Introductionmentioning

confidence: 99%

Ophthalmology Webinars Have the Potential to Enhance the Knowledge of the Participants and Change their Attitude About PANIS Method

Shima¹,

Farhad²,

Khosrow³

et al. 2022

Int J Ophthalmol Clin Res

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Purpose:We have previously presented Plasma-Assisted Noninvasive Surgery (PANIS) as an effective method in managing ocular surface disorders (OSDs). In this study we tried to evaluate the impact of our cobinar (Conference + Webinar) about PANIS method on ophthalmologists either in-person or online.Methods: This study was designed as a quasi-experimental evaluation including a pre-/post-test investigation, conducting on 53 ophthalmologists. The participants were asked to complete a questionnaire provided by the authors including 14 questions before and after the cobinar. Results:The cobinar had a positive effect on the participants' knowledge about the topics, however this increase (11%) was significant only among participants who didn't attend previously. The results indicated that the enthusiasm of the participants on use of PANIS method as their first line of treatment of OSDs or periorbital lesions was increased. Conclusion:The results showed that ophthalmology cobinars have the potential to enhance the knowledge of the participants as well as changing their attitude about a certain subject. Our results revealed that online education can serve as an effective method to transfer the knowledge and also has an impact on attitude of ophthalmologists to use new methods in the arena.

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Evaluation of efficacy of plasma assisted noninvasive surgery (PANIS) as a novel approach for temporary punctal occlusion: a clinical case series

Cited by 8 publications

References 36 publications

Untitled

Untitled

Evaluation of Plasma-Assisted Noninvasive Surgery (PANIS) as a New Technique for Sublimating Large Benign Conjunctival Nevus with Amniotic Membrane Transplantation (AMT); A Clinical Case Report

Ophthalmology Webinars Have the Potential to Enhance the Knowledge of the Participants and Change their Attitude About PANIS Method

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