Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Spontaneous subconjunctival orbital fat prolapse: presentation of four cases
Klinische Monatsblatter fur Augenheilkunde
BACKGROUND: Subconjunctival orbital fat prolapse is a benign entity characterized by orbital fat herniation through a dehiscence in Tenon's capsule, usually between the superior and lateral recti muscles. It is often associated with ocular trauma or surgery, although spontaneous cases have also been reported with a predilection for obese individuals. PATIENTS AND METHODS: A retrospective study of four subconjunctival orbital-fat prolapse cases with no history of ocular surgery or trauma was performed. A trans-conjunctival surgical approach with Tenon's capsule repair was offered to all subjects. Differential diagnosis is discussed. RESULTS: The diagnosis of subconjunctival orbital fat prolapse was confirmed in all cases by histopathological examination. Functional and aesthetic postoperative results were excellent, with no recurrences during follow-up, for all cases. CONCLUSIONS: Although rare, subconjunctival orbital fat prolapse should be recognized. Surgical management offers excellent results.
Adipose Tissue/*pathology/*surgeryAdultAgedConjunctival Diseases/*diagnosis/*surgeryFemaleHernia/*pathology/*surgeryHumansMaleMiddle AgedOphthalmologic Surgical Procedures/*methodsRetrospective StudiesTreatment Outcome
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