Conjunctivochalasis can be asymptomatic or symptomatic. When it is asymptomatic, treatment for the condition is not always necessary, although poor tear film distribution caused by conjunctivochalasis can itself be a problem.
When conjunctivochalasis is symptomatic, the only effective treatment is surgery, in the same way that plastic surgery is the only permanent solution to wrinkles on the face. Surgery may involve simple excision, excision with amniotic membrane transplantation (AMT), superficial cauterization, affixing the conjunctiva to sclera, or surgery with radio waves.
Surgeries, such as AMT, that entirely remove the damaged conjunctiva are preferred, by some doctors, because a healthy conjunctiva is essential to maintaining, over the long term, a healthy tear film.