Fat Prolapse

Fat Prolapse

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Affiliation

1 Orbital, Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Australia. amcnab@medeserv.com.au

A A McNab .

Aust N Z J Ophthalmol .

1999 Feb .

Format

Abstract

PubMed

PMID

Affiliation

1 Orbital, Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Australia. amcnab@medeserv.com.au

Wang X, Yan J.
Wang X, et al.
J Craniofac Surg. 2015 Mar;26(2):e92-4. doi: 10.1097/SCS.0000000000001066.
J Craniofac Surg. 2015.

PMID: 25643342

Secondi R, Sánchez España JC, Castellar Cerpa J, Ibáñez Flores N.
Secondi R, et al.
Semin Ophthalmol. 2019;34(2):69-73. doi: 10.1080/08820538.2019.1576743. Epub 2019 Feb 9.
Semin Ophthalmol. 2019.

PMID: 30741060

Lin CC, Liao SL, Liou SW, Chen CC, Wu YY, Woung LC.
Lin CC, et al.
Optom Vis Sci. 2015 Oct;92(10):1021-6. doi: 10.1097/OPX.0000000000000693.
Optom Vis Sci. 2015.

PMID: 26258278

Lee A, Li EY, Yuen HK.
Lee A, et al.
Ophthalmic Plast Reconstr Surg. 2013 Jul-Aug;29(4):e110-1. doi: 10.1097/IOP.0b013e3182805a0a.
Ophthalmic Plast Reconstr Surg. 2013.

PMID: 23392315

Review.

West JA, Drewe RH, McNab AA.
West JA, et al.
Aust N Z J Ophthalmol. 1997 May;25(2):117-23. doi: 10.1111/j.1442-9071.1997.tb01292.x.
Aust N Z J Ophthalmol. 1997.

PMID: 9267597

Review.

Medhi G, Sharma BK, Khalda E.
Medhi G, et al.
J Clin Diagn Res. 2017 Jul;11(7):TD01-TD02. doi: 10.7860/JCDR/2017/28308.10131. Epub 2017 Jul 1.
J Clin Diagn Res. 2017.

PMID: 28893004
Free PMC article.

Chatzistefanou KI, Samara C, Asproudis I, Brouzas D, Moschos MM, Tsianta E, Piaditis G.
Chatzistefanou KI, et al.
Clin Interv Aging. 2017 Feb 13;12:359-366. doi: 10.2147/CIA.S118955. eCollection 2017.
Clin Interv Aging. 2017.

PMID: 28243072
Free PMC article.

Yang MK, Kim N, Choung HK, Khwarg SI.
Yang MK, et al.
Eye (Lond). 2017 May;31(5):749-752. doi: 10.1038/eye.2016.302. Epub 2017 Jan 20.
Eye (Lond). 2017.

PMID: 28106893
Free PMC article.

Nakamura N, Akiyama K, Shigeyasu C, Yamada M.
Nakamura N, et al.
Clin Ophthalmol. 2015 Sep 18;9:1741-4. doi: 10.2147/OPTH.S91598. eCollection 2015.
Clin Ophthalmol. 2015.

PMID: 26425074
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Kim DH, Khwarg SI, Oh JY.
Kim DH, et al.
Case Rep Ophthalmol. 2014 Jul 30;5(2):239-42. doi: 10.1159/000365914. eCollection 2014 May.
Case Rep Ophthalmol. 2014.

PMID: 25232336
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Purpose:

Subconjunctival orbital fat prolapse has been rarely described in the literature and is frequently confused with other conjunctival tumours, such as dermolipoma. The purpose of the present study was to describe the clinical features and treatment of a series of patients with subconjunctival orbital fat prolapse.

Methods:

Review of clinical records.

Results:

Twelve patients with subconjunctival orbital fat prolapse were identified. Eight had a superotemporal prolapse and five of these were bilateral. All but one were male and most were elderly and tended to be obese. Five of these patients underwent surgical excision of the prolapsed fat for symptoms of discomfort or for cosmesis. Four atypical unilateral cases were seen in younger patients with fat prolapse occurring superonasally in three and inferiorly in one. In one case there was a history of trauma

Conclusions:

Subconjunctival orbital fat prolapse typically occurs superotemporally in obese elderly males and is easily differentiated from other lesions, such as dermolipoma. The prolapsed orbital fat may be excised via the conjunctiva.

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Affiliation

1 Oculoplastic Surgery Service, Vision Institute, Federal University of São Paulo, São Paulo, Brazil. info@cliniplast.com

Giovanni André Pires Viana et al.

Scand J Plast Reconstr Surg Hand Surg .

2009 .

Format

Abstract

PubMed

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Affiliation

1 Oculoplastic Surgery Service, Vision Institute, Federal University of São Paulo, São Paulo, Brazil. info@cliniplast.com

McNab AA.
McNab AA.
Aust N Z J Ophthalmol. 1999 Feb;27(1):33-6. doi: 10.1046/j.1440-1606.1999.00159.x.
Aust N Z J Ophthalmol. 1999.

PMID: 10080335

Schmack I, Patel RM, Folpe AL, Wojno T, Zaldivar RA, Balzer B, Kang SJ, Weiss SW, Grossniklaus HE.
Schmack I, et al.
Am J Surg Pathol. 2007 Feb;31(2):193-8. doi: 10.1097/01.pas.0000213374.02171.0a.
Am J Surg Pathol. 2007.

PMID: 17255763

Wang X, Yan J.
Wang X, et al.
J Craniofac Surg. 2015 Mar;26(2):e92-4. doi: 10.1097/SCS.0000000000001066.
J Craniofac Surg. 2015.

PMID: 25643342

Lee A, Li EY, Yuen HK.
Lee A, et al.
Ophthalmic Plast Reconstr Surg. 2013 Jul-Aug;29(4):e110-1. doi: 10.1097/IOP.0b013e3182805a0a.
Ophthalmic Plast Reconstr Surg. 2013.

PMID: 23392315

Review.

Eneh AA, Farmer J, Kratky V.
Eneh AA, et al.
Can J Ophthalmol. 2016 Aug;51(4):e131-e136. doi: 10.1016/j.jcjo.2016.03.019. Epub 2016 Jul 1.
Can J Ophthalmol. 2016.

PMID: 27521683

Review.

No abstract available.

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Prolapsed orbital fat has rarely been described and is often confused with other conjunctival tumours, such as dermolipoma. We describe the clinical features and treatment of 15 patients with prolapsed orbital fat. We report here our experience in 15 consecutive patients who presented to the Vision Institute of Federal University of São Paulo, Brazil, between July 2004 and December 2007. Age, sex, presenting complaint, physical findings, associated local and systemic diseases, type of treatment, and complications were recorded. Ten patients were men, and ages ranged from 44-86 (mean 68). Eleven patients presented with unilateral disease. Thirteen had superotemporal prolapse, and two atypical superonasal prolapse. Two gave a history of trauma. All patients had the prolapsed fat excised for cosmetic reasons. There were no complications. Orbital fat prolapse is usually superotemporal, mainly in men, and is easily differentiated from other lesions, such as prolapsed lacrimal gland. Excision is always indicated, usually for cosmetic reasons.

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E. Kim , H.-J. Kim , Y.-D. Kim , K.I. Woo , H. Lee and S.T. Kim
American Journal of Neuroradiology March 2011, 32 (3) 465-467; DOI: https://doi.org/10.3174/ajnr.A2313
Kim YD , Goldberg RA . Orbital fat prolapse and dermolipoma: two distinct entities . Korean J Ophthalmol 1994 ; 8 : 42 – 43
Otaka I , Kyu N . A new surgical technique for the management of orbital fat prolapse . Am J Ophthalmol 2001 ; 131 : 267 – 69
Glover AT , Grove AS . Subconjunctival orbital fat prolapse . Ophthal Plast Reconstr Surg 1987 ; 3 : 83 – 86
Jordan DR , Tse DT . Herniated orbital fat . Can J Ophthalmol 1987 ; 22 : 173 – 77
Monner J , Benito JR , Zayuelas J , et al . Transconjunctival herniation of orbital fat . Ann Plast Surg 1998 ; 41 : 658 – 61
Schmack I , Patel RM , Folpe AL , et al . Subconjunctival herniated orbital fat: a benign adipocytic lesion that may mimic pleomorphic
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