%0 Journal Article %A Patrick Commiskey %A Eve Bowers %A Aidan Dmitriev %A Alex Mammen %T Bilateral, chronic, bacterial conjunctivitis in giant fornix syndrome %D 2022 %R 10.1136/bcr-2021-245460 %J BMJ Case Reports %P e245460 %V 15 %N 1 %X Giant fornix syndrome (GFS) results in chronic, relapsing conjunctivitis in elderly patients with enophthalmos and enlarged fornices, in which infectious material collects and perpetuates inflammation. A 98-year-old woman presented with persistent, bilateral, purulent conjunctivitis; corneal epithelial defects and progressive blepharospasm that did not respond to artificial tears, topical antibiotics and steroids and amniotic membrane grafts. Additional findings of deep-set orbits with enlarged upper fornices were diagnostic of GFS. Over the next 2 months, she responded to a combination of topical and systemic antibiotics, autologous serum eye drops, povidone-iodine forniceal rinses, and hypochlorous acid treatment of the eyelashes. GFS is an important diagnostic consideration in elderly patients with chronic conjunctivitis and deep-set orbits. %U https://casereports.bmj.com/content/bmjcr/15/1/e245460.full.pdf