np1981
06-08-2006, 12:52 PM
For anyone diagnosed with this condition, an interesting opinion from a doctor I contacted (who I won't name) here in the UK:
>The surgery is "minor" in our terms but not frequently carried out. I
>happened to do three or four procedures last year and used amniotic membrane
>for these. . I am not sure that
>an amniotic membrane graft is the best procedure however; there are small
>series of other procedures which are less traumatic (mattress sutures and
>subconjunctival dissection of tenon's capsule). The problem with going to
>the web for information is that there are a lot of surgeons out there
>(mostly american) pushing their own technique for financial gain.
>
>In brief there is certainly no need to go abroad to have a procedure for the
>treatment of conjunctivochalasis but the evidence for which procedure is
>best is absent. All procedures that have been described are simple to do,
>although rarely done in the UK, and within the remit of any corneal and
>external disease specialist here. The only reason for going abroad would be
>to have a specific surgeon carry out the treatment.
>The surgery is "minor" in our terms but not frequently carried out. I
>happened to do three or four procedures last year and used amniotic membrane
>for these. . I am not sure that
>an amniotic membrane graft is the best procedure however; there are small
>series of other procedures which are less traumatic (mattress sutures and
>subconjunctival dissection of tenon's capsule). The problem with going to
>the web for information is that there are a lot of surgeons out there
>(mostly american) pushing their own technique for financial gain.
>
>In brief there is certainly no need to go abroad to have a procedure for the
>treatment of conjunctivochalasis but the evidence for which procedure is
>best is absent. All procedures that have been described are simple to do,
>although rarely done in the UK, and within the remit of any corneal and
>external disease specialist here. The only reason for going abroad would be
>to have a specific surgeon carry out the treatment.

