The Effects of Surgery for Conjunctival Lymphangiectasia Using a High-frequency Radio Wave Electrosurgical Unit

Hyun Kyo Jeong; Hyo Song Park; Kyoung Yul Seo; Jeihoon Lee

doi:10.3341/jkos.2018.59.4.314

Journal List > J Korean Ophthalmol Soc > v.59(4) > 1010880

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Jeong, Park, Seo, and Lee: The Effects of Surgery for Conjunctival Lymphangiectasia Using a High-frequency Radio Wave Electrosurgical Unit

Original Article

J Korean Ophthalmol Soc 2018;59(4):314-318.

Published online: 7 September 2018

DOI: https://doi.org/10.3341/jkos.2018.59.4.314

The Effects of Surgery for Conjunctival Lymphangiectasia Using a High-frequency Radio Wave Electrosurgical Unit

Hyun Kyo Jeong, MD^1,², Hyo Song Park, MD^1,², Kyoung Yul Seo, MD, PhD², Jeihoon Lee, MD^1,

^¹Siloam Eye Hospital, Seoul, Korea

^²Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea

Address reprint requests to Jeihoon Lee, MD Siloam Eye Hospital, #181 Deungchon-ro, Gangseo-gu, Seoul 07668, Korea Tel: 82-2-2650-0700, Fax: 82-2-2650-0725, E-mail: genialtoday@siloam.co.kr

Received 16 November 2017 Revised 1 January 2018 Accepted 27 March 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the effects of surgery for conjunctival lymphangiectasia using a high-frequency radio wave electrosurgical unit.

Methods

A retrospective chart review of 27 eyes of 27 patients who received surgery for conjunctival lymphangiectasia using a high-frequency radio wave electrosurgical unit (Ellman Surgitron®, Ellman International, Inc., Hewlett, NY, USA) from January 2013 to September 2017 was performed.

Results

A total of 25 of 27 cases (92.6%) were treated successfully, of which 2 (7.4%) were recurrent cases. Reoperation using the same method was performed in one of the recurrent cases and the patient was successfully cured. Intraoperative or postoperative complication was not noted.

Conclusions

Surgery for conjunctival lymphangiectasia using a high-frequency radio wave electrosurgical device is a simple, cheap, safe, and effective procedure.

Keywords: Conjunctival lymphangiectasia, Highfrequency radiowave electrosurgical unit

REFERENCES

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Figure 1.

Patient who received surgery using high frequency radio wave electrosurgical unit for conjunctival lymphangiectasia. (A, B) Case 14. (A) Before the surgery. (B) Three weeks after the surgery. (C, D) Case 25. (C) Before the surgery. (D) Three weeks after the surgery. These patients showed good post-operative results without recurrence.

Table 1.

Characteristics of patients

Case	Age (years)	Sex	Lat.	Co-morbidity or previous ocular surgery	Outcome
1	68	M	OS
2	46	M	OD
3	73	M	OS	S/p conjunctival resection
4	49	M	OD	Uveitis
5	59	F	OD
6	58	F	OD		Recurrence (12 weeks after surgery)
7	47	F	OS	S/p wide conjunctivectomy
8	38	M	OS	S/p wide conjunctivectomy
9	68	F	OD
10	68	M	OS		Recurrence (3 weeks after surgery)
11	44	F	OS
12	63	M	OD
13	60	M	OS
14	32	F	OS	S/p wide conjunctivectomy
15	47	F	OS
16	53	M	OD	S/p removal of pterygium
17	63	F	OD
18	64	M	OS	S/p removal of pterygium
19	63	M	OS
20	56	M	OD
21	69	F	OD
22	52	F	OS
23	38	M	OD
24	41	F	OS	S/p wide conjunctivectomy, S/p conjunctival flap
25	51	F	OD
26	31	F	OS	S/p conjunctival resection
27	53	F	OD

Lat. = laterality; F = female; M = male; OS = oculus sinister; OD = oculus dexter; S/p = status post.

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