RE: Bilateral subconjunctival masses due to orbital fat prolapse

Jastrzebski, André; Brownstein, Seymour; Jordan, David R.; Burns, Bruce F.

doi:10.1016/j.jcjo.2011.12.018

Cited by 3 publications

(8 citation statements)

References 5 publications

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“…Pleomorphic lipomas contain conglomerations of spindled cells with affiliated ''wire-like'' collagen, whereas atypical lipomatous neoplasms display enlarged hyperchromatic cells within fibrous septae. 1,6 These characteristics are not found in subconjunctival HOF and were absent in the case of our patient. 1,6 Various surgical techniques have been suggested for the removal or repositioning of HOF.…”

Section: E238 Subconjunctival Herniation Of Orbital Fatvskorin and Rinksupporting

confidence: 40%

“…All findings were characteristic of orbital fat. 1,2,5,6 A hand-over-hand technique was used to advance the orbital fat. As soon as sufficient tension was appreciated, the hemostat was repositioned further posteriorly.…”

Section: Testing and Treatmentmentioning

confidence: 99%

“…1Y3 This weakening of the Tenon capsule allows the intraconal orbital fat to protrude anteriorly and can occur unilaterally or bilaterally. 5,6 Patients often present with cosmetic complaints and may also experience symptoms of dryness or discomfort. 2,4 If the lesion is large enough, it may cause formation of corneal dellen (distinct areas of corneal tissue thinning because of dehydration) secondary to exposure keratopathy.…”

mentioning

confidence: 99%

“…7 Although subconjunctival HOF is considered a benign lesion, it does mimic several other ocular conditions such as dermolipoma, pleomorphic lipoma, atypical lipomatous tumor, conjunctival lymphoma, and lacrimal gland prolapse. 1,5,6 Differentiation between these lesions requires detailed examination with biomicroscopy, computed tomography (CT) or magnetic resonance imaging (MRI), and laboratory analysis of a biopsy specimen with light microscopy. 1,5,6 Management of subconjunctival HOF involves one of two things: observation or surgical treatment.…”

mentioning

confidence: 99%

“…1,5,6 Differentiation between these lesions requires detailed examination with biomicroscopy, computed tomography (CT) or magnetic resonance imaging (MRI), and laboratory analysis of a biopsy specimen with light microscopy. 1,5,6 Management of subconjunctival HOF involves one of two things: observation or surgical treatment. 1,2,5 If the lesion does not interfere with function or cause any cosmetic concerns, it can be left alone and monitored yearly for any changes.…”

mentioning

confidence: 99%

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Diagnosis and Excision of Subconjunctival Herniation of Orbital Fat

Skorin¹,

Rink²

2014

Optometry and Vision Science

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In cases of HOF, appropriate and accurate testing is essential, as this condition can mimic several other neoplasms, all of which require specialized treatment strategies. If cosmesis is unacceptable to the patient or the lesion impedes normal ocular function, a subconjunctival excision of the excess fat may be performed with little concern of recurrence. This article discusses a case of HOF, with an explanation of testing and treatment options.

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