Journal article
Chronic Localized Conjunctival Chemosis
Cornea, v 15(3), pp 295-300
May 1996
PMID: 8713933
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Conjunctival chemosis is a commonly encountered clinical finding stemming from the presence of excess fluid in the conjunctiva. It is typically self-limiting or reversible if the underlying condition is treated. The authors present a series of seven cases of chronic localized conjunctival chemosis. Each patient had a localized area of dependent conjunctival edema for ≥ months. Evaluation of each patient included clinical examination, laboratory studies, and neuroimaging to attempt to elucidate the pathogenesis of the chemosis. Conjunctival biopsy was performed in six of the seven patients. In all of the patients studied, clinical examination uncovered no definitive signs of local inflammation. Laboratory evaluation was normal, and neuroimaging failed to confirm obstruction of venous or lymphatic drainage. Conjunctival biopsies showed chronic tissue inflammation or lymphangiectasia. The diagnosis of chronic localized conjunctival chemosis (CLCC) can be made if localized conjunctival edema persists for 6 months. Evaluation of biopsy specimens supports the theory that CLCC may result from scarring and structural alteration of conjunctival lymphatics, which appears to irreversibly affect the distribution of fluid in the conjunctiva.
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Details
- Title
- Chronic Localized Conjunctival Chemosis
- Creators
- Neil Kalin - Penn Presbyterian Medical CenterStephen Orlin - Penn Presbyterian Medical CenterAllan Wulc - Penn Presbyterian Medical CenterKaren Heffler - Penn Presbyterian Medical CenterWilliam Frayer - Penn Presbyterian Medical CenterMichael Sulewski - Penn Presbyterian Medical CenterRobert Mittra - Penn Presbyterian Medical CenterH Dwight Cavanagh - The University of Texas Southwestern Medical Center
- Publication Details
- Cornea, v 15(3), pp 295-300
- Publisher
- Lippincott-Raven Publishers
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry
- Web of Science ID
- WOS:A1996UF42300011
- Scopus ID
- 2-s2.0-0029916452
- Other Identifier
- 991021889996004721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Ophthalmology