Conjuctivochalasis - a review.
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Date
2016
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Abstract
Conjunctivochalasis is an ocular condition that is usually missed, unless specifically looked for. It is
defined as a redundant loose non edematous inferior bulbar conjunctiva. Though generally
asymptomatic, It may also present as dryness and foreign body sensation. Various grading systems
like Mirmura ((based on Lid-parallel conjunctival folds), Mellers (based on lid-parallel conjunctival
folds, punctual occlusion and conjunctival fold changes during down gaze and digital pressure) and
Zhang’s based on conjunctival folds, dryness, foreign body sensations, epiphora symptoms,
punctual occlusion, tear meniscus height, tear film break-up time (BUT), and conjunctival fold
changes during down gaze) system has been outlined. Various etiological aspects like dissolution of
the Tenon’s Capsule and role of expression of matrix metalloproteinase-1 (MMP-1) and matrix
metalloproteinase-3 (MMP-3) has been dealt in detail. Different surgical approaches like pastepinch-
cut conjunctivoplasty and their steps are specified. Conjunctivochalasis has to be understood
in a wider depth and more research work is required to understand CCh in better detail so that
preventive steps can be implemented with regard to secondary causes.
Description
Keywords
Conjunctivochalasis, LIPCOF, Mimura System, Mellers System, Zhang’s system, paste-pinch-cut conjunctivoplasty
Citation
Safarulla MA, Hussain Shaji, Rajesh P, Swadique Muhemmed. Conjuctivochalasis - a review. National Journal of Medical and Allied Sciences. 2016; 5(2): 120-124.