{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:44:22Z","timestamp":1777581862869,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate outcomes of fornix deepening with retractor recession and repositioning for conjunctivochalasis (CCh) on improvement of conjunctival folds and ocular surface symptoms, particularly epiphora.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective, single-centre, observational case series of patients with refractory CCh who underwent fornix deepening and retractor recession. CCh was graded using the Hoh classification (grades 0 to 3 depending on the number and height of folds). Epiphora, reflex tearing, and dry eye symptoms were assessed using the validated 'TEAR' score pre- and post-CCh correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>18 eyes of 11 patients with CCh (average age 68, range 46\u201382 years) were treated with fornix deepening and retractor recession. All had shallow fornices pre-operatively with a mean CCh grade of 1.7 (typically lower than the tear meniscus). Locations of the folds were variable: diffuse\/middle ( n\u2009=\u200910), nasal ( n\u2009=\u20094), and temporal ( n\u2009=\u20094). At 15-month mean follow-up, conjunctival redundancy was absent in 17 of 18 eyes postoperatively, resulting in a restored tear meniscus and reservoir. 91% saw a reduction in tearing frequency (T), with 73% gaining \u2265 2-point improvement. Improvements in clinical effects (E) and activity limitation (A) were seen in 82% and 91% of patients, respectively, with 36% and 64% gaining \u2265 2-point improvement. R scores (related to reflex tearing) improved in 73%, with 64% seeing \u2265 2-point gains. ( P\u2009&lt;\u20090.05 for all).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Restoration of the tear reservoir by inferior fornix deepening with retractor recession and repositioning can result in improvement of CCh and epiphora.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721241283063","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T02:22:22Z","timestamp":1726798942000},"page":"383-391","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of conjunctivochalasis treatment after fornix deepening with retractor recession and repositioning"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0959-8777","authenticated-orcid":false,"given":"Camille","family":"Yvon","sequence":"first","affiliation":[{"name":"Corneoplastic unit, Queen Victoria Hospital NHS Trust, East Grinstead, Sussex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raman","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Corneoplastic unit, Queen Victoria Hospital NHS Trust, East Grinstead, Sussex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"bibr1-11206721241283063","doi-asserted-by":"publisher","DOI":"10.1016\/0039-6257(77)90087-X"},{"key":"bibr2-11206721241283063","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000784"},{"key":"bibr3-11206721241283063","first-page":"264","volume":"5","author":"Mishima S","year":"1966","journal-title":"Invest Ophthalmol"},{"key":"bibr4-11206721241283063","volume-title":"Conjunctivochalasis. 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