Inferotemporal orbital fat prolapse: a case report
DOI:
https://doi.org/10.12809/hkjo-v30n1-407Keywords:
Adipocytes, OrbitAbstract
Orbital fat prolapse is a benign condition commonly seen in the superotemporal region among older men. Surgery is indicated for cosmetic concerns or ocular discomfort. We report a rare case of inferotemporal orbital fat prolapse in a middle-aged man.
References
1. McNab AA. Subconjunctival fat prolapse. Aust N Z J Ophthalmol 1999;27:33-6. DOI: https://doi.org/10.1046/j.1440-1606.1999.00159.x
2. Jordan DR, Tse DT. Herniated orbital fat. Can J Ophthalmol 1987;22:173-7.
3. Rajagopal R, Chauhan G, Balaji JJ. Rare case of inferotemporal orbital fat prolapse: clinical, histopathologic, and anterior segment optical coherence tomography correlation. Indian J Ophthalmol Case Rep 2023;3:519-20. DOI: https://doi.org/10.4103/IJO.IJO_2736_22
4. Secondi R, Sanchez Espana JC, Castellar Cerpa J, Ibanez Flores N. Subconjunctival orbital fat prolapse: an update on diagnosis and management. Semin Ophthalmol 2019;34:69-73. DOI: https://doi.org/10.1080/08820538.2019.1576743
5. Lee A, Li EY, Yuen HKL. Inferonasal prolapsed orbital fat: report of a case and review of literature. Ophthalmic Plast Reconstr Surg 2013;29:e108-11. DOI: https://doi.org/10.1097/IOP.0b013e3182805a0a
6. Lin CC, Liao SL, Liou SW, Chen CC, Wu YY, Woung LC. Subconjunctival herniated orbital fat mimicking adipocytic neoplasm. Optom Vis Sci 2015;92:1021-6. DOI: https://doi.org/10.1097/OPX.0000000000000693
7. Morley AM, Malhotra R. Subconjunctival prolapse of the palpebral lobe of the lacrimal gland occurring in association with occult orbital fat herniation. Orbit 2009;28:430-2. DOI: https://doi.org/10.3109/01676830903177435
8. Kim YD, Goldberg RA. Orbital fat prolapse and dermolipoma: two distinct entities. Korean J Ophthalmol 1994;8:42-3. DOI: https://doi.org/10.3341/kjo.1994.8.1.42
9. Kim E, Kim HJ, Kim YD, Woo KI, Lee H, Kim ST. Subconjunctival fat prolapse and dermolipoma of the orbit: differentiation on CT and MR imaging. AJNR Am J Neuroradiol 2011;32:465-7. DOI: https://doi.org/10.3174/ajnr.A2313
10. 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;31:193-8. DOI: https://doi.org/10.1097/01.pas.0000213374.02171.0a
11. Siban M, Weijtens O, van den Bosch W, Paridaens D. Efficacy of transconjunctival excision of orbital fat prolapse: a long-term follow-up study. Acta Ophthalmol 2014;92:291-3. DOI: https://doi.org/10.1111/aos.12032
12. Raparia E, Rafailov L, Shinder R. In-office sutureless correction of prolapsed subconjunctival orbital fat. Ophthalmic Plast Reconstr Surg 2018;34:79-81. DOI: https://doi.org/10.1097/IOP.0000000000001011
13. Sniegowski MC, Kelmenson A, Gregory DG, Durairaj VD. Small-incision, sutureless repair of subconjunctival fat prolapse. Ophthalmic Plast Reconstr Surg 2012;28:221-3. DOI: https://doi.org/10.1097/IOP.0b013e318249d5d7
14. Nakamura N, Akiyama K, Shigeyasu C, Yamada M. Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera. Clin Ophthalmol 2015;9:1741-4. DOI: https://doi.org/10.2147/OPTH.S91598
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Hong Kong Journal of Ophthalmology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal has a fully Open Access policy and publishes all articles under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. For any use other than that permitted by this license, written permission must be obtained from the Journal.
