J Korean Ophthalmol Soc.  2018 Apr;59(4):314-318. 10.3341/jkos.2018.59.4.314.

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

• Jeong HK
• Park HS
• Seo KY
• Lee J

• KMID: 2409678
• DOI: http://doi.org/10.3341/jkos.2018.59.4.314

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.

Keyword

Conjunctival lymphangiectasia; Highfrequency radiowave electrosurgical unit

MeSH Terms

Humans
Methods
Postoperative Complications
Radio Waves*
Reoperation
Retrospective Studies

Figure

• 

  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.

Reference

1). Stewart DE. System of Ophthalmology. 1st. 8. St Louis: Mosby;1965. p. 40.

2). Welch J, Srinivasan S, Lyall D, Roberts F. Conjunctival lymphangiectasia: a report of 11 cases and review of literature. Surv Ophthalmol. 2012; 57:136–48.

3). Tan JC, Mann S, Coroneo MT. Successful treatment of conjunctival lymphangiectasia with subconjunctival injection of bevacizumab. Cornea. 2016; 35:1375–77.

4). Meisler DM, Eiferman RA, Ratliff NB, Burns CD. Surgical management of conjunctival lymphangiectasis by conjunctival resection. Am J Ophthalmol. 2003; 136:735–6.

5). Fraunfelder FW. Liquid nitrogen cryotherapy of lymphangiectasia. Cornea. 2009; 28:594–6.

6). Han KE, Choi CY, Seo KY. Removal of lymphangiectasis using high-frequency radio wave electrosurgery. Cornea. 2013; 32:547–9.

7). Kim BH. Regional conjunctivectomy with postoperative mitomycin C to treat chronic hyperemic conjunctiva. Cornea. 2012; 31:236–44.

8). Rhiu S, Shim J, Kim EK, et al. Complications of cosmetic wide conjunctivectomy combined with postsurgical mitomycin C application. Cornea. 2012; 31:245–52.

9). Hurwitz JJ, Johnson D, Howarth D, Molgat YM. Experimental treatment of eyelashes with high-frequency radio wave electrosurgery. Can J Ophthalmol. 1993; 28:62–4.

10). Suh JS, Choi S. The effect of conjunctivochalasis surgery using a high-frequency radio-wave electrosurgical unit. J Korean Ophthalmol Soc. 2012; 53:1571–6.

11). Youm DJ, Kim JM, Choi CY. Simple surgical approach with high-frequency radio-wave electrosurgery for conjunctivochalasis. Ophthalmology. 2010; 117:2129–33.

12). Woo KI, Choi CY. High-frequency radiowave electrosurgery for persistent conjunctival chemosis following cosmetic blepharoplasty. Plast Reconstr Surg. 2014; 133:1336–42.

13). Ahn JM, Choi CY, Seo KY. Surgical approach with high-frequency radiowave electrosurgery for superior limbic keratoconjunctivitis. Cornea. 2014; 33:210–4.

14). Park J, Lee S, Suh E. Removal of conjunctival cyst with high-frequency radio-wave electrosurgery. Can J Ophthalmol. 2015; 50:378–83.

15). Park JY, Kim HC, Suh ES. Removal of eyelid epidermal cyst using high-frequency radio-wave electrosurgery. J Korean Ophthalmol Soc. 2014; 55:1727–33.

16). Huang SK. Advances in applications of radiofrequency current to catheter ablation therapy. Pacing Clin Electrophysiol. 1991; 14:28–42.