A new surgical technique for management of conjunctivochalasis.
OBJECTIVE
To present a new surgical technique for severe, symptomatic conjunctivochalasis and our hypothesis of the pathogenesis of this condition.


METHODS
Six eyes of three patients with conjunctivochalasis (average age +/-SD, 70.0 +/- 9.6 years; range, 56-78 years) were treated with a conjunctival fixation to sclera with three 6-0 Vicryl (Johnson & Johnson, New Brunswick, New Jersey) stitches.


RESULTS
With a mean follow-up period of 209.5 days (range, 181-219 days), we achieved successful treatment in all eyes, with no recurrence of conjunctival folds.


CONCLUSIONS
We successfully treated conjunctivochalasis with conjunctival fixation to sclera, which strongly suggests that conjuctival folds are caused by the folding and the elevating of loosely adherent bulbar conjunctiva of the lower eyelid.
Otaka
I
I
Department of Ophthalmology, Shizuoka Red Cross Hospital, Shizuoka, Japan. otaka@isao.com
Kyu
N
N
D000368:Aged; D003228:Conjunctiva / Q000601:surgery; D003229:Conjunctival Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D011098:Polyglactin 910; D012590:Sclera / Q000601:surgery; D013536:Suture Techniques; D013537:Sutures
D011098:Polyglactin 910