Conjunctival scarring

Conjunctival scarring leaves the conjunctiva less able to retain tears and produce protective mucus which is important for normal ocular surface function. It can be focal, multifocal or diffuse, and has many causes including trauma, exposure, infection, allergy and autoimmune diseases. Symptoms include grittiness, burning and, in severe cases, blurred vision. This Clinical Management Guideline outlines the aetiology, signs, symptoms and evidence-based recommendations for diagnosing and treating conjunctival scarring. It provides non-pharmacological and pharmacological treatment approaches, and outlines when referral, potentially for surgery, may be appropriate.

Login to read further information on the diagnosis and management of conjunctival scarring.

/COO/media/Media/CMGs/Conjunctival-Scarring_BLURRED.jpg

What is conjunctival scarring?

Many conditions can cause the conjunctiva, the thin transparent membrane covering the white of the eye and the underside of the eyelids, to become scarred. These include injury, infection, allergy and autoimmune diseases, in which the body’s immune system attacks its own cells or tissues. On a global scale, a major cause of conjunctival scarring and blindness is an infectious disease called trachoma, which is not common in the UK but affects many millions of people in North Africa and South Asia.

Scarring damages the conjunctiva and makes it less able to retain tears and protective mucus. Patients may have symptoms of dry eye, with grittiness, burning and, in severe cases, blurred vision. 

How is conjunctival scarring managed?

They may be helped by artificial tear drops, eyelid surgery and transplantation of amniotic membrane (innermost layer of the placenta) on to the eye surface.

Sign in to continue

Forgotten password?
Register

Want to read the rest of this page?

If you are a member, login to view this page. If you are not a member, simply register to gain free access to the rest of this content.

Last updated

Conjunctival scarring
Version 9
Date of search 14.07.23
Date of revision 18.07.23
Date of publication 17.10.23
Date for review 13.07.25
© The College of Optometrists