고주파 전기수술기를 이용한 결막이완증 수술의 효과
The Effect of Conjunctivochalasis Surgery Using a High-Frequency Radio-Wave Electrosurgical Unit
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목적: 고주파 전기수술기를 이용한 결막이완증 수술의 효과를 알아보고자 한다. 대상과 방법: 결막이완증 환자 14명 27안을 대상으로 고주파 전기수술기(Ellman surgitronⓇ)를 이용하여 하측 구결막을 수축시킴으로써 결막이완증의 수술적 치료를 시행하였다. 수술 전과 수술 후 3개월에 결막이완증의 정도와 안증상, 안구표면질환지수(OSDI), 눈물막파괴시간(BUT), 쉬르머검사, 플루오레신 각막염색을 시행하여 그 결과를 전향적으로 비교 분석하였다. 결과: 수술 후 3개월에 결막이완증 정도는 모든 안에서 grade 0으로 호전되었고, 안증상, OSDI 점수, 눈물막파괴시간, 플루오레신각막염색 결과도 크게 개선되었으며, 특별한 합병증은 발생하지 않았다. 결론: 고주파 전기수술기를 이용한 결막이완증 수술은 결막이완증의 정도 및 증상을 효과적으로 개선시킬 수 있는 안전하고 간편한수술적 치료방법이라 생각된다.
Abstract
Purpose: To evaluate the effects of conjunctivochalasis surgery using a high-frequency radio-wave electrosurgical unit. Methods: Twenty-seven eyes of 14 patients with conjuctivochalasis who received surgeries with shrinkage of the inferior bulbar conjunctiva using a high-frequency radio-wave electrosurgical unit (Ellman surgitron®) were evaluated. Conjuctivochalasis grade, the ocular symptoms, Ocular Surface Disease Index (OSDI), tear film break-up time (BUT),Schirmer test, and corneal staining with fluorescein were measured preoperatively, at 3 months postoperatively, and analyzed prospectively. Results: Three months after the surgery, all patients’ conjunctivochalasis became grade 0, and the ocular symptoms,OSDI score, BUT, and corneal staining with fluorerscein were also improved. Additionally, there were no specific complications during the follow-up period. Conclusions: Conjunctivochalasis surgery using a high-frequency radio-wave electrosurgical unit produced an effective improvement in conjuctivochalasis grade and symptoms and appeared to be a simple and safe procedure.
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