open access
Herniation of orbital fat — analysis of the surgical repair
Affiliations- Laser Plus Eye, Nea Smyrni, Athens, Greece
open access
Abstract
We present a case of an 84-year-old patient with acquired bilateral superotemporal orbital fat prolapse. The disease occurs when there is dehiscence in Tenon’s capsule, allowing fat to herniate forward spontaneously. This can happen when there is a discontinuity of Tenon’s capsule.
We discussed visual symptoms at presentation, surgical technique, and visual and aesthetic outcomes.
Abstract
We present a case of an 84-year-old patient with acquired bilateral superotemporal orbital fat prolapse. The disease occurs when there is dehiscence in Tenon’s capsule, allowing fat to herniate forward spontaneously. This can happen when there is a discontinuity of Tenon’s capsule.
We discussed visual symptoms at presentation, surgical technique, and visual and aesthetic outcomes.
Keywords
orbital fat; herniation; eyes
About this articleTitle
Herniation of orbital fat — analysis of the surgical repair
Journal
Issue
Vol 6 (2021): Continuous Publishing
Article type
Case report
Pages
161-164
Published online
2021-10-27
Page views
5991
Article views/downloads
972
DOI
Bibliographic record
Ophthalmol J 2021;6:161-164.
Keywords
orbital fat
herniation
eyes
Authors
Despoina Tzivaridou
Christina Marini
Ioannis Mallias
References (6)- Stangos AN, Hamédani M. Spontaneous subconjunctival orbital fat prolapse: presentation of four cases. Klin Monbl Augenheilkd. 2006; 223(5): 415–417.
- Schmack I, Patel RM, Folpe AL, et al. Subconjunctival herniated orbital fat: A benign adipocytic lesion that may mimic pleomorphic lipoma and atypical lipomatous tumor. Am J Surg Pathol. 2007; 31(2): 193–198.
- Siban M, Weijtens O, Bosch Wv, et al. Efficacy of transconjunctival excision of orbital fat prolapse: a long-term follow-up study. Acta Ophthalmol. 2013; 92(3): 291–293.
- Nakamura N, Akiyama K, Shigeyasu C, et al. Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera. Clin Ophthalmol. 2015; 9: 1741–1744.
- Bunch PM, Buch K, Kelly HR. Prolapse of Orbital Fat through the Inferior Orbital Fissure: Description, Prevalence, and Assessment of Possible Pathologic Associations. AJNR Am J Neuroradiol. 2019; 40(8): 1388–1391.
- Orbital Fat Prolapse Resection Technique. https://www.youtube.com/watch?v=maH8qg85eHg.