Journal article
Spontaneous subconjunctival orbital fat prolapse: presentation of four cases.
- Stangos AN Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.
- Hamédani M
- 2006-05-18
Published in:
- Klinische Monatsblatter fur Augenheilkunde. - 2006
Adipose Tissue
Adult
Aged
Conjunctival Diseases
Female
Hernia
Herniorrhaphy
Humans
Male
Middle Aged
Ophthalmologic Surgical Procedures
Retrospective Studies
Treatment Outcome
English
BACKGROUND
Subconjunctival orbital fat prolapse is a benign entity characterized by orbital fat herniation through a dehiscence in Tenon's capsule, usually between the superior and lateral recti muscles. It is often associated with ocular trauma or surgery, although spontaneous cases have also been reported with a predilection for obese individuals.
PATIENTS AND METHODS
A retrospective study of four subconjunctival orbital-fat prolapse cases with no history of ocular surgery or trauma was performed. A trans-conjunctival surgical approach with Tenon's capsule repair was offered to all subjects. Differential diagnosis is discussed.
RESULTS
The diagnosis of subconjunctival orbital fat prolapse was confirmed in all cases by histopathological examination. Functional and aesthetic postoperative results were excellent, with no recurrences during follow-up, for all cases.
CONCLUSIONS
Although rare, subconjunctival orbital fat prolapse should be recognized. Surgical management offers excellent results.
Subconjunctival orbital fat prolapse is a benign entity characterized by orbital fat herniation through a dehiscence in Tenon's capsule, usually between the superior and lateral recti muscles. It is often associated with ocular trauma or surgery, although spontaneous cases have also been reported with a predilection for obese individuals.
PATIENTS AND METHODS
A retrospective study of four subconjunctival orbital-fat prolapse cases with no history of ocular surgery or trauma was performed. A trans-conjunctival surgical approach with Tenon's capsule repair was offered to all subjects. Differential diagnosis is discussed.
RESULTS
The diagnosis of subconjunctival orbital fat prolapse was confirmed in all cases by histopathological examination. Functional and aesthetic postoperative results were excellent, with no recurrences during follow-up, for all cases.
CONCLUSIONS
Although rare, subconjunctival orbital fat prolapse should be recognized. Surgical management offers excellent results.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1055/s-2006-926578
- PMID 16705519
- Persistent URL
- https://sonar.ch/global/documents/242620
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