Conjunctivochalasis (CCH)

Conjunctivochalasis (CCH)
SYMPTOMS Tearing | Discomfort/irritation | Dryness | Often asymptomatic.
SIGNS Redundant bulbar conjunctiva (wrinkle appearance) | Disruption of tear meniscus
WORK-UP Thorough history. Slit lamp examination
TREATMENT Observation | Preservative-free artificial tears | Surgical excision and resection may be indicated in advanced cases | Off-label brimonidine 0.025% (Lumify) has been used with some anecdotal success
FOLLOW-UP Frequent follow-ups are not required
ADDITIONAL LAB | TESTS None
ETIOLOGY Unknown but associated with aging and chronic inflammation
DIFFERENTIAL DX Dry eye syndrome | Meibomian gland dysfunction
NOTES None

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