title: Surgical Correction of Giant Fornix Syndrome.
abstract: OBJECTIVE
  To describe a surgical procedure and its outcomes for the management of chronic pseudomembranous kerato-conjunctivitis secondary to giant fornix syndrome (GFS).
  
  
  METHODS
  Retrospective case series of 6 patients undergoing fornix shortening surgery for giant fornix syndrome.
  
  
  RESULTS
  Surgery produced complete resolution of symptoms in 5/6 (83%) patients and complete relief prior to partial relapse in 1. Mean follow up was 18 months (range: 3-41 months). In the 4 (of 6) patients who had measurements taken, the mean upper eyelid forniceal depth reduced from 21.25 mm (n = 4, SD: 2.87) preoperatively to 16.5 mm (n = 4, SD: 2.65) postoperatively.
  
  
  CONCLUSIONS
  Fornix reconstruction may be an effective and well-tolerated treatment for refractory GFS. Resection of excess conjunctiva restores the normal anatomy within the conjunctival cul-de-sac thereby reducing the incidence of protein coagulum formation.
authors.affiliation: *South Australian Institute of Ophthalmology, University of Adelaide, Adelaide, South Australia; †Department of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia; ‡Orbital, Plastic and Lacrimal Service, Royal Victoria Eye and Ear Hospital, East Melbourne, Victoria; §Centre for Eye Research Australia, East Melbourne, Victoria; and ‖Department of Surgery, The University of Melbourne, Parkville, Victoria, Australia.
authors.forename: Lachlan D
authors.initials: LD
authors.lastname: Farmer
authors.forename: Saul N
authors.initials: SN
authors.lastname: Rajak
authors.forename: Alan A
authors.initials: AA
authors.lastname: McNab
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Hardy
authors.forename: Dinesh
authors.initials: D
authors.lastname: Selva
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D003228:Conjunctiva / Q000473:pathology; D003231:Conjunctivitis / Q000175:diagnosis / Q000601:surgery*; D005141:Eyelid Diseases / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D013536:Suture Techniques