Subconjunctival orbital fat prolapse is a benign condition and most patients who present with it are asymptomatic. Their main concern is the lesions' cosmetic appearance. Many other potentially dangerous orbital pathologies can mimic subconjunctival orbital fat prolapse. The excised orbital fat needs to be evaluated histopathologically to rule-out any malignancy. Surgical repair is straight-forward and cosmetically satisfying to patients.
A 79-year-old male presented with subconjunctival orbital fat prolapse. He wanted the lesion removed for cosmetic reasons. The prolapsed orbital fat was excised successfully and histopathologic analysis confirmed the benign nature of his lesion.
Optometrists should be aware of these unusual orbital lesions and refer the patient for surgical repair.
Skorin L. Subconjunctival Orbital Fat Prolapse: Diagnosis and Management. Optometric Clinical Practice. 2019; 1(1):27.
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