Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
Sign up to receive an email alert when a new Case of the Week is posted.
August 25, 2014
Subconjunctival Fat Prolapse
- Subconjunctival fat prolapse is an acquired herniation of intraconal fat due to weakening of the Tenon capsule by the aging process, trauma, or surgery.
- Usually seen in elderly obese men, with a mean age of 65–72 years, typically as bilateral (less often unilateral) soft, yellowish mass with a convex anterior margin and superficial fine blood vessels.
- Key Diagnostic Features: Herniation of intraconal fat into the extraconal compartment. Typically this herniated fat is seen in the epibulbar temporal region bilaterally.
- DDx:
- Dermolipoma
- Epidermoid
- Rx: Surgery for cosmetic purposes or if the prolapse causes discomfort
Current Issue
Case Collections
