Histopathology of conjunctivochalasis compared to normal conjunctiva

Journal of Ophthalmic and Vision Research

Ahmad Kheirkhah³  Mahmoud Jabbarvand²  Mohammad Y Kiarudi²  Fahimeh A Amoli²  Hesam Hashemian²  Mirgholamreza Mahbod¹ 

[1] Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran$$;Farabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran$$;Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Massachusetts, Boston, USA$$

关键词: settlement strategies;    climate fluctuations;    Neolithic;    Eneolithic;    Central Europe;    Slovakia;   

DOI  :  10.4103/2008-322X.194068

来源: Ophthalmic Research Center

【 摘 要 】

Purpose: To evaluate the histopathologic changes in the conjunctiva of patients with conjunctivochalasis (CCh) compared to age-matched controls. Methods: This cross-sectional, controlled study included 27 eyes of 27 patients with CCh and 16 eyes of 16 age-matched controls. A biopsy of the bulbar conjunctiva was performed along the temporal lower lid margin before cataract surgery in both groups. Histopathologic evaluation of the specimens was done with light microscopy using staining with hematoxylin/eosin, periodic acid Schiff, and van Gieson elastic stain. Various histopathologic features of the conjunctival epithelium and stroma were compared between the two groups. Results: The mean age of patients was 62.4 ± 6.9 years in the CCh group and 65.1 ± 6.3 years in the control group (P = 0.54). No significant differences were noted between the two groups in terms of conjunctival epithelial changes including papillomatosis, epithelial clefts, epithelial goblet cells, or infiltration of inflammatory cells. Mean thickness of the conjunctival stroma was 0.21 ± 0.08 mm in the CCh group and 0.26 ± 0.21 mm in the control group (P = 0.10). For the conjunctival stroma, there were no significant differences between the two groups in terms of elastosis, fibrosis, lymphangiectasia, or infiltration of inflammatory cells. Conclusion: No noticeable differences were found in the histopathologic features by light microscopy between eyes with CCh and those of age-matched controls. Therefore, the primary pathology of CCh may not be within the conjunctiva itself. Instead, loose attachment of the conjunctiva to the underlying tissue may be the reason for the redundant folds in the bulbar conjunctiva.

【 授权许可】

Unknown