| Conjunctival Flap Surgery Using Calcium Plaque Scissors for Calcified Scleromalacia after Cosmetic Conjunctivectomy. |
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Young Jae Woo, Hong Seok Kim, Kyoung Yul Seo |
1Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. SEOKY@yuhs.ac
2The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
3Siloam Eye Hospital, Seoul, Korea. |
| 공막 석회화 절제 가위를 이용한 미용적 결막절제술 후의 공막석회화 제거 |
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우영제1⋅김홍석3⋅서경률1,2 |
Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, Korea
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine2, Seoul, Korea
Siloam Eye Hospital3, Seoul, Korea |
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| Abstract |
PURPOSE
To research the advantage of using calcium plaque scissors in conjunctival flap surgery for calcified scleromalacia after cosmetic conjunctivectomy. METHODS: We analyzed 55 eyes that had undergone conjunctival flap surgery for calcified scleromalacia occurring after cosmetic conjunctivectomy. Surgical blade was used in 30 eyes (Group 1) and calcium plaque scissors in 25 eyes (Group 2). Time after conjunctivectomy, plaque size, operation time and visual acuity before and after the flap surgery were analyzed and compared. Additionally, necessity of additional scleral surgery was evaluated. Optical coherence tomography (OCT) of the sclera was performed both pre- and postoperatively and the results were compared. RESULTS: An average of 3.9 +/- 1.0 years elapsed until conjunctival flap surgery and follow-up time was 5.2 +/- 3.8 months. Post conjunctivectomy time and plaque size were similar in both groups (p = 0.87 and 0.49, respectively). The surgery time in Group 2 was shorter than in Group 1 (17.5 +/- 6.3 minutes and 21.9 +/- 8.5 minutes, respectively, p = 0.20). Uncorrected visual acuity was similar in both groups before and after conjunctival flap surgery (p = 0.53 and p = 0.20, respectively). In Group 1, one sclera transplantation and three Ologen(TM) insertion surgeries were performed as an additional scleral surgery. Based on OCT, calcium plaque scissors were confirmed as a new surgical tool for calcium plaque removal with minimal scleral damage. CONCLUSIONS: Using calcium plaque scissors when performing conjunctival flap surgery for calcium plaque removal that occurred after cosmetic conjunctivectomy reduces the necessity of an additional scleral surgery and surgery time. |
| Key Words:
Calcium plaque;Conjunctival flap surgery;Conjunctival resection;Scleromalacia |
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