DAMN! There is Some Fat in My Eye! (Subconjunctival Fat Prolapse)

Damn! There is Some Fat in My Eye! The following video contains educational medical content that may include blood and pus. Please do not watch if this sort of content offends you in any way! Subconjunctival fat prolapse can be easily pushed back into the orbit with a cotton tip applicator and becomes more prominent by retropulsion of the globe. It is an acquired herniation of intraconal fat due to the weakening of the Tenon capsule by normal aging, surgery, or trauma. They mostly present as unilateral or bilateral soft yellow color mass with a convex anterior margin and superficial fine blood vessels in the superotemporal quadrant or lateral canthus region. Differential diagnosis: extraconal orbital fat prolapse, lacrimal gland prolapse, dermolipoma, pleomorphic lipoma, atypical lipomatous tumor, conjunctival lymphoma. Music: “Think Tank“ by Jason Shaw Surgeon: Dr. Carlo Frontini, MD