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Conjunctival fornix foreshortening

MedGen UID:
1054146
•Concept ID:
CN378439
•
Finding
HPO: HP:6001091

Definition

Abnormal reduction in depth of the fornix of the conjunctiva. The fornix is the area where the conjunctiva folds back upon itself, thereby creating a recessed space. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVConjunctival fornix foreshortening

Professional guidelines

PubMed

Cicatricial pemphigoid: diagnosis and treatment.
Nguyen QD, Foster CS
Int Ophthalmol Clin 1996 Winter;36(1):41-60. doi: 10.1097/00004397-199603610-00007. PMID: 8778068

Recent clinical studies

Etiology

Challenging the current treatment of residual postoperative ptosis: safety and efficacy of repeat Müller's muscle conjunctival resection.
Radmall BR, Idowu OO, Vagefi MR, Carter KD, Shriver EM
Can J Ophthalmol 2022 Aug;57(4):247-252. Epub 2021 May 29 doi: 10.1016/j.jcjo.2021.04.021. PMID: 34058146
Defining the limits of normal conjunctival fornix anatomy in a healthy South Asian population.
Khan IJ, Ghauri AJ, Hodson J, Edmunds MR, Cottrell P, Evans S, Williams GP, Rauz S
Ophthalmology 2014 Feb;121(2):492-7. Epub 2013 Dec 4 doi: 10.1016/j.ophtha.2013.09.033. PMID: 24314841Free PMC Article
Rigid nylon foil-anchored polytetrafluoroetyhlene (Gore-Tex) sheet stenting for conjunctival fornix reconstruction.
Demirci H, Elner SG, Elner VM
Ophthalmology 2010 Sep;117(9):1736-42. Epub 2010 Aug 5 doi: 10.1016/j.ophtha.2010.01.061. PMID: 20691479Free PMC Article
Long-term follow-up of patients with atopic keratoconjunctivitis.
Power WJ, Tugal-Tutkun I, Foster CS
Ophthalmology 1998 Apr;105(4):637-42. doi: 10.1016/S0161-6420(98)94017-9. PMID: 9544637
Reconstruction of the partially contracted ocular socket or fornix.
Karesh JW, Putterman AM
Arch Ophthalmol 1988 Apr;106(4):552-6. doi: 10.1001/archopht.1988.01060130598046. PMID: 3355427

Diagnosis

Vortex Keratopathy as a Presenting Feature of Ocular Mucous Membrane Pemphigoid.
Singh C, Jain N, Sharma S, Basu S, Shanbhag SS
Cornea 2023 Nov 1;42(11):1454-1457. Epub 2023 Jun 15 doi: 10.1097/ICO.0000000000003324. PMID: 37318153
Association Between Skin Findings and Ocular Signs in Rosacea.
Saá FL, Cremona F, Chiaradia P
Turk J Ophthalmol 2021 Dec 28;51(6):338-343. doi: 10.4274/tjo.galenos.2021.05031. PMID: 34963260Free PMC Article
Diagnosis, Treatment, and Surgical Repair in a Case of Isolated Conjunctival Lichen Planus Causing Cicatricial Entropion.
Cretara EA, Swan RT, Hill RH
Ophthalmic Plast Reconstr Surg 2017 Nov/Dec;33(6):e162-e163. doi: 10.1097/IOP.0000000000000933. PMID: 28538610
Ocular cicatricial pemphigoid.
Holsclaw DS
Int Ophthalmol Clin 1998 Fall;38(4):89-106. doi: 10.1097/00004397-199803840-00009. PMID: 10200078
Cicatricial pemphigoid: diagnosis and treatment.
Nguyen QD, Foster CS
Int Ophthalmol Clin 1996 Winter;36(1):41-60. doi: 10.1097/00004397-199603610-00007. PMID: 8778068

Therapy

Diagnosis, Treatment, and Surgical Repair in a Case of Isolated Conjunctival Lichen Planus Causing Cicatricial Entropion.
Cretara EA, Swan RT, Hill RH
Ophthalmic Plast Reconstr Surg 2017 Nov/Dec;33(6):e162-e163. doi: 10.1097/IOP.0000000000000933. PMID: 28538610
Ocular cicatricial pemphigoid.
Holsclaw DS
Int Ophthalmol Clin 1998 Fall;38(4):89-106. doi: 10.1097/00004397-199803840-00009. PMID: 10200078
Foreshortening of the inferior conjunctival fornix associated with chronic glaucoma medications.
Schwab IR, Linberg JV, Gioia VM, Benson WH, Chao GM
Ophthalmology 1992 Feb;99(2):197-202. doi: 10.1016/s0161-6420(92)32001-9. PMID: 1348114

Prognosis

Unrecognized cicatricial pemphigoid with oral manifestations and ocular complications. A case report.
Lugović L, Buljan M, Situm M, Poduje S, Bulat V, Vucić M, Budimir J
Acta Dermatovenerol Croat 2007;15(4):236-42. PMID: 18093453
Mucous membrane pemphigoid with fatal bronchial involvement in a seventeen-year-old girl.
Gamm DM, Harris A, Mehran RJ, Wood M, Foster CS, Mootha VV
Cornea 2006 May;25(4):474-8. doi: 10.1097/01.ico.0000178730.34564.c7. PMID: 16670490
Ocular cicatricial pemphigoid.
Holsclaw DS
Int Ophthalmol Clin 1998 Fall;38(4):89-106. doi: 10.1097/00004397-199803840-00009. PMID: 10200078
Long-term follow-up of patients with atopic keratoconjunctivitis.
Power WJ, Tugal-Tutkun I, Foster CS
Ophthalmology 1998 Apr;105(4):637-42. doi: 10.1016/S0161-6420(98)94017-9. PMID: 9544637
Reconstruction of the partially contracted ocular socket or fornix.
Karesh JW, Putterman AM
Arch Ophthalmol 1988 Apr;106(4):552-6. doi: 10.1001/archopht.1988.01060130598046. PMID: 3355427

Clinical prediction guides

Defining the limits of normal conjunctival fornix anatomy in a healthy South Asian population.
Khan IJ, Ghauri AJ, Hodson J, Edmunds MR, Cottrell P, Evans S, Williams GP, Rauz S
Ophthalmology 2014 Feb;121(2):492-7. Epub 2013 Dec 4 doi: 10.1016/j.ophtha.2013.09.033. PMID: 24314841Free PMC Article
Validation of a fornix depth measurer: a putative tool for the assessment of progressive cicatrising conjunctivitis.
Williams GP, Saw VP, Saeed T, Evans ST, Cottrell P, Curnow SJ, Nightingale P, Rauz S
Br J Ophthalmol 2011 Jun;95(6):842-7. Epub 2010 Oct 17 doi: 10.1136/bjo.2010.188011. PMID: 20956276Free PMC Article
Foreshortening of the inferior conjunctival fornix associated with chronic glaucoma medications.
Schwab IR, Linberg JV, Gioia VM, Benson WH, Chao GM
Ophthalmology 1992 Feb;99(2):197-202. doi: 10.1016/s0161-6420(92)32001-9. PMID: 1348114

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