Conjunctivochalasis- underdiagnosed and easy to repair
April 23, 2009
Conjunctivochalasis is much more common than we think- we often attribute the symptoms to dry eye and give artificial tears. But ever since I read about this condition some time ago, I see that it is indeed, much more common and symptomatic. I know surgeons will excise the redundant conjunctiva, but I wonder if that’s such a good idea- I have a feeling the patient needs all the conjunctiva they can get for lubrication purposes. I recently saw a video where the surgeon replaces the excised conjunctiva with dry amniotic membrane, glued to the globe- that’s probably a better idea. But I do is the simplest and I think, best- I roatate the eye superiorly and push the conjunctiva down towards the fornix and place about 4-5 8-o Vicryl sutures about 10 mm from the limbus re-attaching it to the globe. That’s it. The sutures create enough irritation to keep the conjunctiva securely on the globe. When I examine the patients later, the conjunctiva is nice and tight on the globe without any redundancy- and I did not sacrifice any conjunctiva. Try it!
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