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