Efficacy of transconjunctival excision of orbital fat prolapse: a long-term follow-up study

Michael Siban, Olga Weijtens, Willem van den Bosch, Dion Paridaens

Research output: Contribution to journalArticleResearchpeer-review


PURPOSE: To describe the long-term efficacy of transconjunctival excision of subconjunctival orbital fat prolapse.

METHODS: Retrospective study of consecutive cases of orbital fat prolapse treated with transconjunctival resection between December 2002 and December 2011.

RESULTS: Thirty-two eyes of 23 patients (19 males and four females) were included. The lesion was unilateral in 14 and bilateral in nine cases. It was located superotemporally in a majority of cases. Excision was performed by opening the conjunctiva and excising the prolapsing orbital fat. The conjunctival wound was closed with 1-2 interrupted sutures. With an average follow-up of 29 months (range 4-108), a recurrence was seen in three cases. The average time to recurrence was 46 months (range 40-52 months).

CONCLUSION: Transconjunctival excision is a simple, safe and effective primary surgical procedure to treat subconjunctival fat prolapse. In our series, the recurrence rate was 9%, but no additional surgery was required. As the average time to recurrence was longer than our average follow-up, more patients may develop a recurrence in future.

Original languageEnglish
Pages (from-to)291-3
Number of pages3
JournalActa Ophthalmologica
Issue number3
Publication statusPublished - May 2014


  • Adipose Tissue/surgery
  • Adult
  • Aged
  • Aged, 80 and over
  • Conjunctiva/surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures/methods
  • Orbital Diseases/surgery
  • Prolapse
  • Recurrence
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome


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