Diagnosis of Conjunctivochalasis

Slit Lamp Examination

The loose conjunctiva can be demonstrated as follows:

  • Ask the patient to blink vigorously.
  • Press the eyelid against the conjunctiva with an upward motion (Fig. 1).
  • Fluorescein staining will help visualize the wrinkles as well as obliterate tear meniscusby the redundant conjunctival folds (Fig. 2).
  • Rose Bengal staining may show punctate staining on the bulbar conjunctiva adjacent to the lid margin (Fig. 3).

    

 

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