What if Chemosis Doesn't Settle Down?

Chemosis is common after any eyelid/eye surgery and it is usually transient, lasting days.  Chronic chemosis is more resistant to therapy and it may be due to underlying conjunctivachalasis (loose extra conjunctiva).  In these cases, the excess conjunctiva can be trimmed/excised in the office under local anesthesia to alleviate the chronic chemosis.  The procedure is not commonly discussed but you can find more information on my website.

Occasionally chemosis can be quite troublesome to deal with and can be refractory to conservative treatment. In these circumstances, surgical approach can be attempted to help the conjunctival tissue settle down. This involves excising some of the bulky conjunctiva and redraping the residual conjunctiva.

Chronic chemosis is tough to deal with. Some surgeons wil incise the conjunctiva to aid in settling down the swelling. I would go to an oculoplastic specialist.