공막 석회화 절제 가위를 이용한 미용적 결막절제술 후의 공막석회화 제거

• 영문명: Conjunctival Flap Surgery Using Calcium Plaque Scissors for Calcified Scleromalacia after Cosmetic Conjunctivectomy
• 발행기관: 대한안과학회
• 저자명: 우영제 김홍석 서경률,Young Jae Woo, MD, Hong Seok Kim, MD, Kyoung Yul Seo, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number11, 1618~1624쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.11.15

영문 초록

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 Ologena™ 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. J Korean Ophthalmol Soc 2014;55(11):1618-1624

키워드

Calcium plaque, Conjunctival flap surgery, Conjunctival resection, Scleromalacia