‍Conjunctivochalasis (CCH) is an eye condition that occurs when excess folds of the conjunctiva, the thin membrane covering the white part of the eye, develop along the eyelid. These folds can interfere with normal tear distribution and drainage, causing irritation, dryness, and discomfort. At Progressive Ophthalmology, we evaluate the severity of conjunctivochalasis and recommend treatment based on each patient's symptoms and eye health.

Conjunctivochalasis often develops with age as the conjunctival tissue becomes thinner and less elastic. Some patients experience no symptoms, while others develop persistent discomfort that resembles dry eye syndrome.

Common symptoms include:

• Dryness and irritation: A gritty or sandy sensation that makes the eyes uncomfortable.
  
  

• Excessive tearing: Disrupted tear drainage can cause watery eyes.
  
  

• Burning or stinging: Irritation that may worsen with frequent blinking.
  
  

• Eye fatigue: Eyes that feel tired or strained throughout the day.
  
  

• Intermittent blurry vision: Changes in tear distribution that temporarily affect visual clarity.
  
  

Because these symptoms overlap with other eye conditions, an eye examination is essential for an accurate diagnosis.

For patients with mild conjunctivochalasis, conservative treatments may provide sufficient relief. We may recommend lubricating eye drops to improve moisture and reduce irritation. Prescription anti-inflammatory eye drops, including short-term corticosteroids when appropriate, may also help manage inflammation.

Patients with associated dry eye disease or meibomian gland dysfunction may benefit from additional treatment targeting these conditions. However, eye drops cannot remove excess conjunctival tissue, so some patients continue experiencing symptoms despite medical management.

When non-surgical treatments fail to provide adequate relief, conjunctivochalasis surgery may be recommended. Surgical treatment focuses on removing or repositioning excess conjunctival tissue to create a smoother ocular surface and improve tear distribution.

At Progressive Ophthalmology, Dr. Michael Ahdoot offers Ocular Surface Reconstruction with Amniotic Membrane Transplantation, an advanced surgical technique designed to restore the ocular surface. The amniotic membrane supports tissue healing following reconstruction and may help improve comfort in patients with persistent conjunctivochalasis.