New conjunctival forceps combined with high-frequency electrocautery-assisted correction of conjunctivochalasis

Purpose: To investigate the efficiency, efficacy, and safety of new conjunctival forceps combined with high-frequency electrocautery-assisted correction of conjunctivochalasis (CCh). Methods: 19 patients with CCh, totaling 22 eyes, were included in the study. The forceps have a serrated tapered head and a latch for firm tissue grip. The conjunctiva was secured for resection using the forceps latch, grasped 3-5 mm from the limbus, and treated clockwise. Direct electrocautery was utilized for lifts ≤3 mm; for heights >3 mm, forceps were used to clamp, scissors were used for excision, and the electrode tip was used to close the wound following anesthesia. Surgical duration was recorded, and CCh severity, assessed with lip-parallel conjunctival folds (LIPCOF), along with discomfort scored by Ocular Surface Disease Index (OSDI), were compared pre- and post-operatively. Healing and complications were checked at one week and one month. Results: Surgery averaged 6.95 minutes. Initially, 18.2% of the patients were LIPCOF Grade I, 22.3% were Grade II, and 59.1% were Grade III. Postoperatively, 59.1% reached grade 0 at one week, and 95.5% by one month. The OSDI scores significantly improved from week one to month one (P<0.05), falling from 40.06 to 17.43 in a single month. Healing was complete within one week for cauterized areas, one month for excision. Minor congestion and edema at one week were cleared by one month with no major issues. Conclusion: The new conjunctival forceps with high-frequency electrocautery for CCh correction proved to be efficient, effective, and safe.