It is present at the limbus for up to 360 degrees and at the exposed interpalpebral bulbar conjunctiva
On local examination a smooth, oval, reddish in colour, bilobulated swelling of 15 x 17mm size arising from the bulbar conjunctiva
near the inner canthus was seen.
It is clinically defined as an acquired, usually unilateral, flat, pigmented lesion most commonly occurring on the bulbar conjunctiva
SCA is usually administered to the supero-temporal or infero-temporal bulbar conjunctiva
under direct visualisation of the needle delivering the anaesthesia.
Patients with "oketsu" syndrome revealed impairment of microcirculation on the basis of observiation of the blood flow of their bulbar conjunctiva
by means of a video-microscope system (Terasawa et al.
The palpebral conjunctiva is firmly attached to the tarsal plate of the lid, while the bulbar conjunctiva
has a looser attachment to the underlying sclera, increasing as it approaches the limbus.
The space between the palpebral and bulbar conjunctiva
is referred to as the conjunctival sac.
Moreover, It has been reported that administration of OGT improve the microciculation of bulbar conjunctiva
(Itoh et al.
After five hours of wear, one of three interventions was undertaken; these included, removing the lens and replacing it with a fresh one, removing the lens and then reinserting it, or performing a 'scleral swish, by sliding the lens onto the bulbar conjunctiva
We reported that Choto-san improved the microcirculation of bulbar conjunctiva
and hemorheological factors in patients with asymptomatic cerebral infarction.
24) A wedge of fibrovascular tissue extends from the bulbar conjunctiva
, slowly invading the cornea.
A systematic examination of the skin, lashes, lid margin, gland orifices, tarsal and bulbar conjunctiva
, tear film and cornea, is required.
Grading scales, including: lids, lashes, bulbar conjunctiva
, limbal redness/ neovascularisation, cornea and palpebral conjunctiva (evert eyelids)
The most common location (67-72%) is the bulbar conjunctiva
, especially the inter-palpebral area (Figure 1).
Vasodilatation of the more superficial vasculature across the bulbar conjunctiva
should be self-evident (especially if assessed by slit-lamp biomicroscopy), but any concern that deeper lying blood vessels have been affected (ie, as in scleritis) could be checked with a simple 'blanching' test, ie, instil phenylephrine 2.