Conjunctivochalasis

Did you know that CCH is a result of degenerated Tenon’s capsule?

What is Conjunctivochalasis?

Conjunctivochalasis (CCH) is defined as a loose, redundant, nonedematous conjunctiva that is considered to occur secondary to normal aging.

The unhealthy Tenons cause the conjunctiva to loosen and create folds that can:

• Interfere with the tear meniscus
• Block the punctum preventing tear clearance
• Occupy the fornix (the tear reservoir), diminishing its volume and ability to replenish the tear meniscus adequately.
• Over time, the loose conjunctiva contracts further, shortening the fornix

Prevalence of CCH in America

In a recent study of 1,416 individuals over 60, more than 98% demonstrated Conjunctivochalasis1

  • 16.5% of people in the U.S. are 65 years old or over (54.1M)
  • 53M people with CCH in the U.S.

Assuming:

  • 2% of people with CCH are severe enough to warrant surgery
  • That equates to 1.06M people

We have the solution. The Reservoir Restoration Procedure.

AmnioGraft®

AmnioGraft, a cryopreserved amniotic membrane graft, supports accelerated post-op recovery and ensures superior patient outcomes when used in ocular surface reconstructive procedures.2-4

 

Reservoir Restoration Procedure

A simple, 20-minute, surgical procedure for Conjunctivochalasis Dry Eye that restores the function of the anatomical tear reservoir (fornix) by:

1) Removing degenerated & deteriorated Tenon’s Fascia
2) Rearranging (recessing) to deepen the fornix and creating a well-defined inferior fornix
3) Replacing degenerated tenons with AmnioGraft to bring back the normal anatomy

We are here to support you with patient education and surgical preparation.

Fill out the form below to view the Reservoir Restoration surgical guide:
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References
Solomon A, Pires RTF and Tseng SCG. Amniotic membrane transplantation after extensive removal of primary and recurrent pterygia. Ophthalmology. 2001; 108: 449-60.
Kheirkhah A, Casas V, Esquenazi S, et al. New surgical approach for superior conjunctivochalasis. Cornea. 2007;26(6):685-691.
Kheirkhah A, Casas V, Blanco G, Li W, Hayashida Y, Chen YT, Tseng SC. Amniotic membrane transplantation with fibrin glue for conjunctivochalasis. Am J Ophthalmol. 2007;144(2):311-3.
Georgiadis NS, Terzidou CD. Epiphora caused by conjunctivochalasis: treatment with transplantation of preserved human amniotic membrane. Cornea. 2001; 20(6):619-621.