Medical and surgical management of conjunctivochalasis

Anna Marmalidou, Sotiria Palioura, Reza Dana, Ahmad Kheirkhah

Research output: Contribution to journalReview article

Abstract

Conjunctivochalasis (CCH) is a bilateral conjunctival condition characterized by loose, redundant conjunctival folds, typically in the inferior bulbar conjunctiva. It is a common cause of ocular irritation, especially in older age. For asymptomatic CCH, no treatment is necessary. For treatment of symptomatic CCH, however, a variety of medical and surgical approaches are currently available, which will be thoroughly appraised in this review article. The first step in the management is medical therapy, which involves enhanced lubrication and use of anti-inflammatory medications. In refractory cases, a surgical approach may be undertaken for symptom relief. Several techniques have been described for this, with varying success rates. These include conjunctival cauterization, conjunctival excision, scleral fixation of the conjunctiva, conjunctival ligation, laser conjunctivoplasty, and radiowave electrosurgery. Among these, conjunctival cauterization and excision of the redundant conjunctiva, with or without tissue grafting, have gained popularity.

Original languageEnglish (US)
Pages (from-to)393-399
Number of pages7
JournalOcular Surface
Volume17
Issue number3
DOIs
StatePublished - Jul 2019

Keywords

  • Amniotic membrane
  • Cauterization
  • Conjunctivochalasis
  • Conjunctivoplasty
  • Dry eye

ASJC Scopus subject areas

  • Ophthalmology

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