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Case Reports
. 2012 Sep 3:12:47.
doi: 10.1186/1471-2415-12-47.

Severe conjunctivochalasis in association with classic type Ehlers-Danlos syndrome

John K Whitaker  1 , Philip Alexander, David Y S Chau, Naing L Tint
Affiliations
Case Reports

Severe conjunctivochalasis in association with classic type Ehlers-Danlos syndrome

John K Whitaker et al. BMC Ophthalmol. .

Abstract

Background: Inferior conjunctivochalasis is common, but is rarely severe enough to require conjunctival excision. This report describes a patient with severe conjunctivochalasis who was subsequently diagnosed with Ehlers Danlos Syndrome, Classic Type.

Case presentation: A patient suffering from foreign body sensation, frequent blinking and bilateral inferior conjunctivochalasis was referred and treated by topical ocular lubrication. However, no improvement was observed prompting potential excision of conjunctivochalasis. Following patient consultation and clinical diagnosis including hypermobile joints and skin elasticity, poor wound healing and wide scar morphology, Ehlers-Danlos syndrome was confirmed in the patient.

Conclusion: This case highlights the need for direct patient questioning and provides the first reported association between conjunctiovochalasis and Ehlers-Danlos syndrome.

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Figures

Figure 1
Figure 1
(A) Severe conjunctivochalasis resulting in coverage of the inferior cornea. (B) Conjunctiva displaced inferiorly using a cotton tipped applicator demonstrating the extent of the problem.
Figure 2
Figure 2
(A) Prominant hyperextensible skin (B) hypermobile joints.
See this image and copyright information in PMC

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