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November 1972

Bulbar Conjunctivo-chalasis

Author Affiliations

From the University of Hawaii, School of Medicine and the Queen's Medical Center, Honolulu.

Arch Ophthalmol. 1972;88(5):532. doi:10.1001/archopht.1972.01000030534013

This rather simple condition can be described as an overlapping of the cornea by loose nonedematous conjunctiva. This occurred in a 15-year-old girl, was inferiorly located, and represented a cosmetic blemish, particularly when looking straight ahead and in downward gaze. There was no overlap in upward gaze (Fig 1 to 3). Allergy or thyroid disease were not factors. It is the only case that I have seen.

Surgical correction consisted of a simple excision of an elliptical section of conjunctiva just above the inferior rectus muscle insertion and a uniting of the cut edges by passing the sutures through episcleral tissue thus fixing the loose conjunctiva so that it will no longer slide upward (Fig 4).

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