Conjunctivochalasis with Superior Limbic Keratoconjunctivitis (SLK):

Create a limbal based conjunctival flap about 5 mm posterior to the superior limbus. Rotate the eye down using a 7-0 traction suture 1-2 mm posterior to limbus at the 12 o’clock position. Remove all mobile Tenon’s capsule (Fig. 10A) prior to laying down and adhering AM on the bare sclera with fibrin glue (Fig. 10B). Remove the traction suture and secure the conjunctival flap on top of AM with bipolar cautery.