✍️ Redundant, loose, nonedematous inferior bulbar conjunctiva interposed between globe and lower eyelid
✍️ etiology exactly unknown
☝️ elastoid degeneration
☝️loss of adhesion between conjunctiva and sclera
☝️thinning of Tenon’s capsule with age
☝️mechanical factor from dry eye
☝️blepharitis (lid rubbing, dry conjunctiva)
✍️ usually misdiagnosed as dry eye disease
✍️ more common in
☝️elderly
☝️contact lens wearers
☝️ thyroid eye disease
✅Conjunctivochalasis clinical picture
✍️ Symptoms
☝️teary eyes (interference with tear meniscus and lacrimal drainage)
☝️irritation
☝️foreign body sensation
☝️redness
✍️ signs
☝️excess folds of inferior bulbar conjunctiva
☝️epiphora
☝️conjunctival ulceration
☝️subconjunctival hemorrhage
☝️signs of dry eye disease
✅Conjunctivochalasis Classification
✍️Grade 1
☝️no persistent fold
✍️ Grade 2
☝️single, small fold
✍️ Grade 3
☝️more than two folds
☝️not higher than tear meniscus
✍️ Grade 4
☝️multiple folds
☝️higher than tear meniscus
✅ Conjunctivochalasis Treatment
✍️ if symptomatic
☝️lubrication
☝️topical steroids
☝️surgery
• conjunctivoplasty (conjunctival resection) with or without amniotic membrane transplantation
• conjunctival fixation to sclera
• cautery
