Surgical correction of orbital fat prolapse in the superomedial quadrant: A case report

Abstract

Introduction: Subconjunctival orbital fat prolapse is a rare condition where periorbital fat herniates due to weakening of Tenon's capsule and orbital septum, occurring most commonly in the superotemporal quadrant. Risk factors include advanced age, male sex, obesity and history of eye surgery. It can cause aesthetic and functional damage, requiring surgical correction. Methods: Case report of a 45-year-old patient with nodulation on the left upper eyelid, diagnosed with medial orbital fat prolapse. The prolapsed fat was resected and sutured with non-absorbable suture. Results: Postoperative period without significant complications, with only slight eyelid edema. The patient received lubricating and oral anti-inflammatory eye drops, with the suture removed after 14 days. After 6 months, there was no recurrence of prolapse. Conclusion: Although the literature on the treatment of orbital fat prolapse is scarce, especially for superomedial cases, the surgical approach in this case was successful until the sixth postoperative month, with team and patient satisfaction.