Liu D
Department of Ophthalmology, Henry Ford Hospital, Detroit, Michigan 48202.
Ophthalmic Plast Reconstr Surg. 1986;2(1):25-8.
Conjunctivochalasis is an isolated bilateral condition in which redundant conjunctival tissue overlies the lower eyelid margin or covers the lower punctum. It causes tearing by mechanically disrupting the normal flow of tears. Unlike the boggy conjunctiva seen in an allergic reaction, the extent of this redundant tissue is small, well-localized, and unresponsive to antihistamine drops. During the 40-month period from May 1981 through September 1984, 15 patients complaining of epiphora were found to have this problem. Simple local surgical excision relieved their symptoms. Follow-up period ranged from 10 to 40 months, with an average of 27 months. Conjunctivochalasis can be recognized by a thorough ocular examination and managed by simple excision of the redundant tissue. Consequently, before extensive surgery such as dacryocystorhinostomy, eyelid surgery, or silicone intubation of the lacrimal system is contemplated, conjunctivochalasis should be ruled out and corrected.
结膜松弛症是一种孤立的双侧性病症，其中多余的结膜组织覆盖下眼睑边缘或覆盖下泪小点。它通过机械性干扰正常泪液流动而导致流泪。与过敏反应中出现的肿胀结膜不同，这种多余组织的范围较小，定位良好，并且对抗组胺滴眼液无反应。在1981年5月至1984年9月的40个月期间，发现15名主诉溢泪的患者有这个问题。简单的局部手术切除缓解了他们的症状。随访期为10至40个月，平均27个月。通过全面的眼部检查可以识别结膜松弛症，并通过简单切除多余组织进行处理。因此，在考虑进行诸如泪囊鼻腔吻合术、眼睑手术或泪道系统硅胶插管等广泛手术之前，应排除并纠正结膜松弛症。
