Removal of Lymphangiectasis Using High-Frequency Radio Wave Electrosurgery

Han, Kyung Eun; Choi, Chul Young; Seo, Kyoung Yul

doi:10.1097/ico.0b013e31825d569f

Cited by 15 publications

(13 citation statements)

References 7 publications

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“…In literature, various therapeutic modalities have been described to treat conjunctival lymphangiectasia [2,[7][8][9]. In the absence of large scale trials, however, it is difficult to determine the most effective treatment.…”

Section: Discussionmentioning

confidence: 99%

Atypical Conjunctival Lymphangiectasia Presenting as Conjunctival Horn

Parlar¹,

Gerding

2017

Klin Monatsbl Augenheilkd

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Section: Discussionmentioning

confidence: 99%

Atypical Conjunctival Lymphangiectasia Presenting as Conjunctival Horn

Parlar¹,

Gerding

2017

Klin Monatsbl Augenheilkd

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“…Symptomatic relaxation of the redundant conjunctiva in the inferior bulbar conjunctiva was noted in all patients who underwent HRES. All procedures were performed by the same surgeon (CYC) under topical anesthesia (0.5% proparacaine) as previously described [7891011]. HRES was performed in approximately 10 to 15 locations in each bulbar area according to disease severity using an insulation-coated fine-needle electrode (Ellman Surgitron; Ellman International, Hewlett, NY, USA).…”

Section: Methodsmentioning

confidence: 99%

“…Conjunctivochalasis is the presence of loose redundant conjunctival tissue in bulbar conjunctiva and is responsible for several ocular signs and symptoms such as decreased vision, discomfort, pain, dryness injections, and subconjunctival hemorrhage [123]. Treatment options for conjunctivochalasis include topical lubrication and steroids [1], simple resection of redundant tissue [2456], electrocoagulation, and high-frequency radio-wave electrosurgery (HRES) [7891011].…”

mentioning

confidence: 99%

“…Following our initial description of a simple surgical approach with HRES to treat conjunctivochalasis [11], the procedure has been expanded the treatment of lymphangiectasis of the conjunctiva [8], persistent chemosis after blepharoplasty [10], superior limbic keratoconjunctivitis [7], and conjunctival cyst removal [9]. However, during the follow-up period after HRES, we identified small remnant particles in the subconjunctival area in some patients.…”

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confidence: 99%

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Evaluation of Subconjunctival Remnant Particles after High-frequency Radio-wave Electrosurgery for Conjunctivochalasis

Kim

Choi

2019

Korean J Ophthalmol

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PurposeTo investigate the clinical manifestations and properties of remnant particles in the subconjunctival space after high-frequency radio-wave electrosurgery for conjunctivochalasis.MethodsWe performed a retrospective, observational case series with in vitro experimental imaging in nine eyes from eight patients who presented with small dark-gray lesions during follow-up after high-frequency radio-wave electrosurgery for conjunctivochalasis. General examination including slit-lamp examination and visual acuity testing was performed preoperatively and postoperatively. During follow-up, we evaluated remnant particles and any other complications including granuloma or conjunctival injection with slit-lamp photography and anterior optical coherence tomography. Coagulation tips were investigated with scanning electron microscope and energy dispersive X-ray spectroscopy to analyze the insulating electrode and assess changes to tips after repeated use.ResultsNone of the patients included in this study experienced any change in visual acuity or major complications postoperatively. Small dark-gray lesions (0.3 to 0.5 mm in size) were observed in the inferior bulbar sub-conjunctival space in the location where high-frequency radio-wave electrosurgery had been performed. Cirrus high-definition optical coherence tomography images revealed focal hyper-reflection with a posterior shadow, suggesting foreign particles. Scanning electron microscopy and energy dispersive X-ray spectroscopy imaging analysis revealed peaks of carbon and fluorine complexes, consistent with the polytetrafluoroethylene coating on the electrode.ConclusionsThere were no instances of inflammatory reaction, particle migration, or major complications due to particles. Physicians should be aware of the possibility of remnant polytetrafluoroethylene particles in subconjunctival tissue when using insulated coagulation tips subjected to repeat sterilization.

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“…Although focal disease is usually asymptomatic, 1 chronic, diffuse cases can be associated with persistent irritation, pain, and blurred vision. 2 In such situations, treatment options include topical steroids, surgical excision, diathermy, liquid nitrogen cryotherapy, and highfrequency radio wave electrosurgery. [1][2][3] We describe a case of diffuse conjunctival lymphangiectasia successfully treated with a single injection of subconjunctival bevacizumab (Avastin), an antibody that binds to vascular endothelial growth factor-A (VEGF-A).…”

mentioning

confidence: 99%