Dry Eye Dx and Tx: Conjunctivochalasis—The Dry Eye “Mimicker” - Takeaways - MDSpire

Dry Eye Dx and Tx: Conjunctivochalasis—The Dry Eye “Mimicker”

  • By

  • TIFFANY ANDRZEJEWSKI, OD

  • March 1, 2026

  • 5 min

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  • 1

    Conjunctivochalasis (CCh) is characterized by redundant folds of the bulbar conjunctiva and affects a significant percentage of older adults.

  • 2

    CCh mimics dry eye disease symptoms, causing persistent discomfort and mechanical dry eye due to disrupted tear film dynamics.

  • 3

    Diagnosis of CCh involves slit lamp examination and visualization techniques to assess conjunctival folds and tear film stability.

  • 4

    Initial treatment for CCh includes topical therapies to reduce inflammation and friction, but severe cases may require in-office procedures or surgery.

  • 5

    Recognizing CCh is essential for managing dry eye disease, as it can explain persistent symptoms despite other treatments.

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