The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Orbital fat herniation

Photo by Professor Chua Chung Nen

This elderly man complained of a lumpy yellowish lesion in the left temporal region of the eye white. Examination revealed a soft yellowish lesion arising from behind the globe. The lesion could be pushed backward using a cotton bud but the posterior edge could not be seen. This was typical of orbital fat prolapse. The visible fat was excised and the cut edge was cauterized to allow the fat to shrink back into the orbit.

 

Prolapsed orbital fat.

 

Fat excised.

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