The study aimed to draw a relationship between conjunctivochalasis and dry eye symptoms via a dry eye questionnaire (DEQ5), as well as signs such as tear osmolarity, tear break up time, corneal staining, Schirmer score, meibomian gland dropout, eye lid vascularity and meibum quality. The authors conclude that the presence of a nasally located conjuntivochalasis was associated with the most severe symptoms and signs. However, contrary to this, patients with no conjunctivochalasis had similar DEQ5 scores as patients with nasal conjunctivochalasis. Previous studies performed in China and Germany found increased dry eye symptoms in patients with nasal conjunctivochalasis. This study extends this by reporting a similarity in results for an American population. This paper is unique in that its patient cohort was a predominantly male population; an understudied population in dry eyes.