Why is my sclera folding?

Why is my sclera folding?

Conjunctivochalasis, or CCH, is a fairly common ocular condition that is characterized by excess folds of conjunctival skin that accumulate between the globe of the eye and the margins of the eyelid. This can cause the patient to experience unpleasant and uncomfortable symptoms.

What is conjunctivochalasis?

Conjunctivochalasis is defined as a redundant, nonedematous conjunctiva that causes a wide variety of symptoms ranging from completely asymptomatic, to worsening of an unstable tear film, and when severe, a real mechanical disruption of tear flow.

Why are conjunctival flaps no longer a recommended treatment?

A conjunctival flap is rarely used in the management of microbial keratitis. Marginal fungal ulcers unresponsive to antimycotic therapy have been successfully treated with conjunctival flaps. This treatment is not appropriate in the setting of an active suppurative infection that is in danger of perforation.

Does the conjunctiva cover the sclera?

The conjunctiva is the membrane that lines the eyelid and loops back to cover the sclera (the tough white fiber layer covering the eye), right up to the edge of the cornea (the clear layer in front of the iris and pupil—see Structure and Function of the Eyes).

How common is Conjunctivochalasis?

Conjunctivochalasis, an age-dependent, bilateral condition of redundant conjunctiva, is seen in over 98 percent of individuals over the age of 60.

How do you fix Conjunctivochalasis?

There are many possible surgical procedures to treat conjunctivochalasis, all of which involve excising the excess tissue, tightening the loose tissue, or replacing the abnormal conjunctival tissue. Conjunctival cautery can be used to create superficial scarring and tightening of the tissue.

What is the purpose of the Gunderson flap?

The Gundersen conjunctival flap procedure involves the transposition of a thin flap of conjunctiva to cover the cornea for the relief of painful ocular surface disorders or to provide metabolic support for corneal healing.

What is flap in cornea?

The flap involves making an incision in the circular strip of the outer corneal tissue, then separating it from the underlying stroma. However, one segment of the tissue remains attached by not completing the circle – thus, a small portion of the cornea acts like a hinge.

What is difference between sclera and conjunctiva?

The conjunctiva, a thin layer of tissue lining the eye and eyelids, contributes to homeostasis of the tear film, provides a layer of protection from foreign material and wards off infection. The sclera, a dense connective tissue made of collagen and elastin, encapsulates the eye, giving it structure and rigidity.

Can eyeballs wrinkle?

Conjunctivochalasis, also sometimes referred to as conjunctival chalasis, is a loosening and wrinkling of the conjunctiva, the clear tissue that covers the white of the eye and the underside of the eye lid.

What is fornix of eye?

The fornix conjunctiva is loose soft tissue lying at the junction between the palpebral conjunctiva (covering the inner surface of the eyelid) and the bulbar conjunctiva (covering the globe). Each eye has two fornices, the superior and inferior fornices. The fornix permits freedom of movement of the eyelids.