Conjunctivochalasis

What is Conjunctivochalasis?

Conjunctivochalasis is a common condition which is often confused with dry eye. It occurs when the adhesions between the conjunctiva and underlying sclera break down, usually as an age-related phenomenon. This allows "slippage" at every blink with resulting inflammation and pain. Our experience is that it is often under-diagnosed, which is a pity since excellent treatment is available and can be discussed at the time of a consultation. Many patients with "dry eye disease" that does not respond to treatment actually have conjunctivochalasis.

What is the treatment?

The exact treatment is complex but includes simple lubricants and then incremental use of anti-inflammatory medications and finally surgery. The aim of such surgery is to prevent the slippage that occurs with every blink and which is the cause of symptoms. Surgical options include simple diathermy to create adhesions but if this is insufficient then a conjunctival resection is almost always successful.