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Related Experiment Videos

Subconjunctival fat prolapse.

A A McNab1

  • 1Orbital, Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Australia. amcnab@medeserv.com.au

Australian and New Zealand Journal of Ophthalmology
|March 18, 1999
PubMed
Summary
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Subconjunctival orbital fat prolapse typically affects obese elderly males, presenting superotemporally. Surgical excision via the conjunctiva is an effective treatment for this condition.

Area of Science:

  • Ophthalmology
  • Oculoplastics

Background:

  • Subconjunctival orbital fat prolapse is a rare condition.
  • It is often misdiagnosed as conjunctival tumors like dermolipoma.

Purpose of the Study:

  • To describe the clinical characteristics and management of subconjunctival orbital fat prolapse.

Main Methods:

  • Retrospective review of clinical records of patients diagnosed with subconjunctival orbital fat prolapse.

Main Results:

  • Twelve patients were identified with subconjunctival orbital fat prolapse.
  • The typical presentation was superotemporal prolapse in elderly, obese males, often bilateral.
  • Four atypical cases occurred in younger patients with superonasal or inferior prolapse; one had a history of trauma.

Related Experiment Videos

  • Five patients underwent surgical excision for symptomatic relief or cosmetic reasons.

    • Conclusions:

    • Subconjunctival orbital fat prolapse characteristically presents superotemporally in obese, elderly males.
    • It can be distinguished from other conjunctival lesions such as dermolipoma.
    • Conjunctival excision is a viable surgical approach for managing prolapsed orbital fat.