Presentation
Fatty mass in the bilateral lateral canthal area.
Patient Data
Age: 80 years
Gender: Female
From the case:
Subconjunctival fat prolapse - bilateral
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CT demonstrates prolapse fat at the superotemporal aspect of the bilateral epibulbar area continuous with the intraconal fat, lateral of the lacrimal gland.
Case Discussion
The principal imaging feature of subconjunctival fat prolapse is that the fatty mass is continuous with the intraconal fat. It's believed to be a herniation of intraconal fat due to a weakening of the Tenon capsule.
Subconjunctival fat prolapse and dermolipoma occur in the lateral canthal area of the temporal or superotemporal bulbar conjunctiva.