The dermolipoma is one of the fat-containing epibulbar mass lesions of lateral canthal area beneath the temporal or superotemporal bulbar conjunctivae. This should be differentiated from subconjunctival fat prolapse as they have different radiological features and treatment stratagies 4.
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Epidemiology
Dermolipomas are congenital and more commonly seen in young patients with mean age of 30 years old. There is no gender predilection.
Clinical presentation
It usually presents as a unilateral non-mobile firm pinkish-white or yellow mass with a straight or concave anterior margin sometimes with fine hairs on its surface. It is not compressible and the lesion size is not affected by pressure upon the globe. Occasionally, it may extend into the orbital fat, bulbar conjunctiva, or the limbus.
Pathology
Dermolipomas are congenital choristomas with dermal-like connective tissue and adipose tissue components.
Treatment and prognosis
Conservative partial surgical resection and free conjunctival autograft from the opposite eye is the goal of treatment as complete or radical resection is associated with high incidence of complications such as ptosis, strabismus, or lacrimal gland injuries.
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