Vol 6 (2021): Continuous Publishing
Case report
Published online: 2021-10-27

open access

Page views 6010
Article views/downloads 1076
Get Citation

Connect on Social Media

Connect on Social Media

Herniation of orbital fat — analysis of the surgical repair

Despoina Tzivaridou1, Christina Marini1, Ioannis Mallias1
Ophthalmol J 2021;6:161-164.


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.

Article available in PDF format

View PDF Download PDF file


  1. Stangos AN, Hamédani M. Spontaneous subconjunctival orbital fat prolapse: presentation of four cases. Klin Monbl Augenheilkd. 2006; 223(5): 415–417.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Orbital Fat Prolapse Resection Technique. https://www.youtube.com/watch?v=maH8qg85eHg.