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TAHOE SUMMIT 2015 "Conjunctivochalasis as an Overlooked Cause of Dry Eye" Scheffer C. G. Tseng, M.D., Ph.D., FAAO 1. Introduction A. What is conjunctivochalasis? How common it is? B. Pathogenesis of conjunctivochalasis leading to dry eye? C. How dry eye caused by conjunctivochalais be differentiated from dry eye caused by aqueous tear deficiency D. Why some patients with conjunctivochalasis remain "asymptomatic"? How can we be sure that conjunctivochalasis is responsible for causing dry eye? 2. Clinical Implications of Conjunctivochalasis A. Pathophysiology: a) Degeneration of Tenon's capsule b) Foreshortening of conjunctiva c) Herniation of orbital fat d) Obliteration of the tear reservoir in the fornix e) Interference of tear flow from the fornix to the tear meniscus and from the tear meniscus to the puncta B. Case Presentation and Video Demonstration a) Clinical pearls 3. Surgical Management by Restoration of Tear Reservoir by Amniotic Membrane Transplantation a) Surgical video b) Clinical case examples 1
