Investigative Ophthalmology & Visual Science Cover Image for Volume 65, Issue 7
June 2024
Volume 65, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2024
Clinical Outcomes of Conjunctivochalasis Treatment with a New Ophthalmic Radiofrequency Device
Author Affiliations & Notes
  • Bokyung Kim
    Ophthalmology, Kangbuk Samsung Hospital, Jongno-gu, Seoul, Korea (the Republic of)
  • Chul Young Choi
    Ophthalmology, Kangbuk Samsung Hospital, Jongno-gu, Seoul, Korea (the Republic of)
  • Jong-Soo Lee
    Pusan National University School of Medicine, Busan, Korea (the Republic of)
  • Footnotes
    Commercial Relationships   Bokyung Kim None; Chul Choi None; Jong-Soo Lee None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2024, Vol.65, 3637. doi:
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    • Get Citation

      Bokyung Kim, Chul Young Choi, Jong-Soo Lee; Clinical Outcomes of Conjunctivochalasis Treatment with a New Ophthalmic Radiofrequency Device. Invest. Ophthalmol. Vis. Sci. 2024;65(7):3637.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To investigate the safety and efficacy of a new micro-controlled radiofrequency device for treatment of conjunctivochalsis (Cch).

Methods : Data of 127 patients (230 eyes) who underwent ophthalmic radiofrequency treatment for Cch from January 2020 to June 2023 were analyzed retrospectively. Cch coagulation was performed with a radiofrequency electrode tip (OcuRF®, Ilooda, Korea) and a high-frequency radio-wave electric unit (0.6~0.8 watts, 2 MHz, Acutron™, Ilooda, Korea). Pre- and post-operative Cch grading, silt-lamp photography, tear film beak-up time (TBUT), and bulbar conjunctival hyperemia using Keratograph 5M (Oculus®, Wetzlar, Germany) were evaluated. Cch grade 0 or 1 after surgery was regarded as 'success'. Complications, recurrence, and additional treatment rate were analyzed.

Results : In 225 (97.8%) eyes, the radiofrequency treatment led to marked improvement of Cch, with 224 (97.4%) eyes achieving grade 0 or 1 at 2-months postoperatively. Eight eyes (3.5%) received additional treatment. TBUT improved from 3.17 ± 0.82 seconds to 5.28 ± 1.10 seconds after surgery (P<0.001). Total bulbar conjunctival hyperemia value showed an improvement from 1.7 ± 0.6 to 1.4 ± 0.6 postoperatively (P<0.05). No serious complications were observed.

Conclusions : The novel ophthalmic radiofrequency device led to marked improvement of Cch with no serious adverse events during the entire follow-up period. Our results suggest that the radiofrequency device presents a safe and efficacious treatment option for Cch.

This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.

 

Preoperative and Postoperative Silt-lamp photograghs of cases (A-E). In each case, preoperative and postoperative photographs are presented (with and without cobalt-blue/yellow filter and fluorescein stain). A-D, four cases of Cch in grade 3 preoperatively; E, a case of Cch in grade 2 preoperatively with history of longstanding epiphora more than 6 months. At 2 months postoperatively, all cases showed grade reduction to 0 or 1.

Preoperative and Postoperative Silt-lamp photograghs of cases (A-E). In each case, preoperative and postoperative photographs are presented (with and without cobalt-blue/yellow filter and fluorescein stain). A-D, four cases of Cch in grade 3 preoperatively; E, a case of Cch in grade 2 preoperatively with history of longstanding epiphora more than 6 months. At 2 months postoperatively, all cases showed grade reduction to 0 or 1.

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