Subconjunctival fat prolapse

Case contributed by Dalia Ibrahim

Presentation

Bilateral conjunctival whitish fatty lesions.

Patient Data

Age: 70 years
Gender: Male

Bilateral conjunctival epibulbar lesions of fat density. They are smoothly abutting the related lateral aspect of the globe with extension to the intra-orbital fat.

Case Discussion

Subconjunctival fat prolapse is an acquired herniation of intraconal fat due to the weakening of the Tenon capsule by normal aging, surgery, or trauma. It presents clinically with a fat-containing epibulbar mass in the lateral canthal area.

It should be differntiated from orbital dermolipoma which occurs in younger age group and show non connection with the intra-orbital fat.

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