Eyeworld

EW CORNEA 43 Fla.; and director of research & de- velopment, Tissue Tech, Miami, Fla. Videos and discussions of the topic are available on OSREF's website: www.osref.org/conjunctivochalasis- cch.aspx. At the 2010 World Cornea Congress and American Academy of Ophthalmology conference, Linden Reed Doss, R. Philip Doss, M.D., and E. Lauren Doss described a new surgical technique for the treatment of conjunctivochalasis in which the redundant conjunctiva is precisely resected. The AAO video ("Paste- Pinch-Cut: A novel surgical repair for conjunctivochalasis") was awarded Best of Show in the Cornea, External Disease topic. Basically, the technique involved creating an arc- like guideline that is demarcated inferior to the limbus. A small but- tonhole is made in the temporal bul- bar conjunctiva at the edge of the marking line. Fibrin glue is injected through the buttonhole along the line. The conjunctiva is pinched with modified (curved) ptosis for- ceps gathering the excess conjunc- tiva into a ridge at the top of which lies the marking line. The authors noted the forcep curve follows the globe line. This ridge is excised after 20 seconds (the amount of time needed for the glue to coagulate), leaving a sealed wound. The authors also said that in 139 eyes of 70 pa- tients, conjunctivochalasis resolved in all patients, and 91.5% reported improvement in symptoms. More work is being done to un- derstand the underlying causes of conjunctivochalasis. A recent study 3 analyzed protein profiles in the tears of healthy patients and those with conjunctivochalasis and found 24 spots were "significantly upregulated in conjunctivochalasis compared with that in controls," the authors wrote, adding that some of the pro- teins are markers of inflammation and oxidative processes. EW References 1. Youm DJ, Kim JM, Choi CY. Simple Surgical Approach with High-Frequency Radio-Wave Electrosurgery for Conjunctivochalasis. Ophthalmology. 2010;117:2129–2133. 2. Gumus K, Crockett CH, Pflugfelder SC. Ante- rior segment optical coherence tomography: a diagnostic instrument for conjunctivochalasis. Am J Ophthalmol. 2010;150(6):798-806. 3. Acera A, Suarez T, Rodriguez-Agirretxe I, Ve- cino E, Duran JA. Changes in tear protein pro- file in patients with conjunctivochalasis. Cornea. 2011;30(1):42-9. Editors' note: The doctors interviewed have no financial interests related to their comments. Contact information Kim: 706-226-2020, kim@professionaleye.com Safran: 609-896-3931, safran12@comcast.net Wortz: 270-692-0047, 2020md@gmail.com Conjunctivochalasis: An overlooked—but common—ailment October 2011 April 7-9, 2010 Boston, MA • USA Save The Date! SAN DIEGO 2015 Sponsored by the Cornea Society APRIL 15-17, 2015 40-45 Cornea_EW October 2011-dl2_Layout 1 9/29/11 3:43 PM Page 43

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