Patient: 69 years of age, male, BCVA 1.0 at OD, 1.0 at OS, IOP 14/14 mmHg.
General Medical History: empty.
Ocular Medical History: at both eyes conjunctival tumor the superotemporal quadrant, no pain.
Main Complaint: no pain, no visual loss.
Purpose: to demonstrate a yellowish conjunctival tumor.
Methods:
Findings:
Colour Photography Anterior Segment: subconjunctival prolapsed orbital fat localized in the superotemporal quadrant.
MRI: prolapsed orbital fat (L>R) visible in the superotemporal quadrant around the rectus muscle.
Discussion:
Prolapsed orbital fat is a common entity and is mostly located in the superotemporal quadrant. It can be confused with other conjunctival tumors. Schmack et al. (1) reported that subconjunctival herniated orbital fat commonly contains multinucleated floretlike giant cells, fibrous septae, and Lochkern cells.
Literature:
(1) Schmack I, Patel RM, Folpe AL, Wojno T, Zaldivar RA, Balzer B, Kang SJ, Weiss SW, Grossniklaus HESubconjunctival herniated orbital fat: A benign adipocytic lesion that may mimic pleomorphic lipoma and atypical lipomatous tumor. Am J Surg Pathol. 2007 Feb;31(2):193-8.
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