Table 2

Ocular surface changes in patients with or without conjunctivochalasis

CaseCCh location↑ CCh by fast blinkStaining in CChLid margin erosionObliterated tears meniscusSwollen punctumPinguecula*Floppy eyelids
TNCTNU/L
T = temporal bulbar conjunctiva; N = nasal bulbar conjunctival; C = central (inferior) bulbar conjunctival; U/L = upper and lower tear meniscuses. Severity of CCh based on folds of loose conjunctiva: +++, severe; ++, moderate; +, mild; −absent. Staining in the CCh was determined by rose bengal staning. Lid margin erosion was determined by the presence of anterior migration of the mucocutaneous junction shown by fluorescein staining in or near CCh. Obliterated tear meniscus was determined by fluorescein staining. +; positive or present; −, negative or absent. Severity of floppy eyelids was graded as 1+ when less than 1/3 of the upper tarsus was visible after lid eversion, 2+ when up to ½ of the upper tarsus was visible, and 3+ when more than ½ of the upper tarsus was everted.
*Pingueculae were present in both nasal and temporal bulbar conjunctiva.
Group A
1−−−−−−−−−−−−
2−−−−−−−−−−−−
3−−−−−−−−−−−−
4−−−−−−−−−−−−
5−−−−−−−−−−−−
Group B
6+++++++++++++++/++−t−−
7+++++++++++++++/+++−1+
8+++++−−++++++++/+++−1+
9+++++++++++++++/+++−−
10+++++++++++++++/+++−3+
11+++++++++++++++/+++−−
12+++++++++++++++/+++−1+
13+++++++++++++++/+++−−
Group C+
14+++++++++++++++/++++1+
15+++++++++++++++/++−−1+
16+++++++++++++++/++++1+
17+++++++++++++++/++−−1+
18+++++++++++++++/++++1+
19+++++++++++++++/+++−1+
20+++++++++++++++/+++−1+
21+++++++++++++++/+++−1+