Skip to main content

Surgical Reconstruction of the Tear Meniscus at the Lower Lid Margin for Treatment of Conjunctivochalasis

  • Chapter
Lacrimal Gland, Tear Film, and Dry Eye Syndromes 3

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 506))

Abstract

Conjunctivochalasis is an important cause of several types of ocular surface discomforts, including irritation, intermittent epiphora, dryness, and blurred vision, and is often associated with with dry eye. Since conjunctivochalasis most frequently protudes into the tear meniscus at the lower lid margin, the disease often interferes with the tear meniscus lacrimal pathway, and tear fluid reservoir functions. In addition, conjunctivochalasis-related redundant conjunctiva can irritate the ocular surface like a foreign body. Accordingly, conjuctivochalasis may explain patient complaints related to tear meniscus dysfunction or foreign body sensation. In this report, we propose that conjunctivochalasis causes tear meniscus dysfunction, and although several surgical procedures have been previously developed for treatment of this disease, we introduce a new surgical treatment for removal of redundant conjuctiva whilesimultaneously restoring the original tear meniscus at the lower lid margin.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. W.L. Hughes. Conjunctivochalasis. Am J Ophthalmol. 25: 48–51 (1942).

    Article  Google Scholar 

  2. S.L. Bosniak, and B.C. Smith. Conjuctivochalasis. Adv Ophthalmic Plast Reconstr Surg. 3: 153–155 (1984).

    Google Scholar 

  3. 3. D. Liu. Conjunctivochalasis: a cause for tearing and its management. Ophthalmic Plast Reconstr Surg.2: 25–28 (1986).

    Article  Google Scholar 

  4. F. Serrano, and M.L. Mora. Conjunctivochalasis: a surgical technique. Ophthalmic Surg. 20: 883–884 (1989).

    CAS  PubMed  Google Scholar 

  5. R.B. Grene. Conjunctival pleating and keratoconjuctivitis sicca. Cornea 10: 367–368 (1991).

    Article  Google Scholar 

  6. D. Meller, and S.C.G. Tseng. Conjunctivochalesis: Literature review and possible pathophysiology. Sury Ophthalmol. 43:225–232 (1998).

    Article  CAS  Google Scholar 

  7. 7. I. Otaka, and N. Kyu. A new surgical technique for management of conjunctivochalasis. Am J Ophthalmol. 129: 385–387 (1999).

    Article  Google Scholar 

  8. N. Yokoi, and S. Kinoshita. New surgical treatment for conjunctivochalasis to restore normal tear meniscus at the lower lid margin. Atarashii Ganka (J. Eye) 17: 573–576 (2000).

    Google Scholar 

  9. M.G. Doane. Blinking and the mechanics of the lacrimal drainage system. Ophthalmology 88: 844–851 (1981).

    Article  CAS  PubMed  Google Scholar 

  10. M.A. Lemp, and H.H. Weiler. How do tears exit? Invest Ophthalmol Vis Sci. 24: 619–622 (1983)

    CAS  PubMed  Google Scholar 

  11. F.J. Holly. Physical chemistry of the normal and disordered tear film. Trans Ophthalmol Soc UK. 104: 374–380 (1985).

    PubMed  Google Scholar 

  12. A. Komuro, N. Yokoi, and S. Kinoshita. Effect of conjunctivochalasis on tear turnover. Atarashii Ganka (J. Eye) 17: 581–583 (2000).

    Google Scholar 

  13. J. McDonald, and S. Brubaker. Meniscus-induced thinning of tear films. Am J Ophthalmol. 72: 139–146 (1971).

    CAS  Google Scholar 

  14. T.R. Golding, A.S. Bruce, and J.C. Mainstone JC: Relationship between tear-meniscus parameters and tear-film breakup. Cornea 16: 649–661 (1997).

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Kluwer Academic/Plenum Publishers

About this chapter

Cite this chapter

Yokoi, N., Komuro, A., Sugita, J., Nakamura, Y., Kinoshita, S. (2002). Surgical Reconstruction of the Tear Meniscus at the Lower Lid Margin for Treatment of Conjunctivochalasis. In: Sullivan, D.A., Stern, M.E., Tsubota, K., Dartt, D.A., Sullivan, R.M., Bromberg, B.B. (eds) Lacrimal Gland, Tear Film, and Dry Eye Syndromes 3. Advances in Experimental Medicine and Biology, vol 506. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0717-8_182

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-0717-8_182

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5208-2

  • Online ISBN: 978-1-4615-0717-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics