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.


  • 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, 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.

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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.