Conjunctivochalasis

Conjunctivochalasis is a chronic condition characterized by loose, redundant, nonedematous, bulbar conjunctival folds that may overhang the lower eyelid margin and is often associated with aging. Some histologic studies have revealed stromal inflammation and/ or dilated lymphatic vessels in this condition.

Figure 5-14 Epithelial inclusion cyst. A, Clinical photograph. B, Histologically, the cyst is lined by nonkeratinized stratified squamous epithelium with goblet cells, characteristic of the conjunctiva.

• Marmalidou A, Kheirkhah A, Dana R. Conjunctivochalasis: a systematic review. Surv Ophthalmol. 2018;63(4):554–564.

Excerpted from BCSC 2020-2021 series: Section 4 - Ophthalmic Pathology and Intraocular Tumors. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.