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

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

doi:10.1111/aos.12032

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

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

Orbita and oculoplastic surgery

Research output: Contribution to journal › Article › Research › peer-review

Abstract

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 language	English
Pages (from-to)	291-3
Number of pages	3
Journal	Acta Ophthalmologica
Volume	92
Issue number	3
DOIs	https://doi.org/10.1111/aos.12032
Publication status	Published - May 2014

Keywords

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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10.1111/aos.12032

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title = "Efficacy of transconjunctival excision of orbital fat prolapse: a long-term follow-up study",

abstract = "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.",

keywords = "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",

author = "Michael Siban and Olga Weijtens and {van den Bosch}, Willem and Dion Paridaens",

note = "{\textcopyright} 2013 The Authors. Acta Ophthalmologica {\textcopyright} 2013 Acta Ophthalmologica Scandinavica Foundation.",

year = "2014",

month = may,

doi = "10.1111/aos.12032",

language = "English",

volume = "92",

pages = "291--3",

number = "3",

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T1 - Efficacy of transconjunctival excision of orbital fat prolapse

T2 - a long-term follow-up study

AU - Siban, Michael

AU - Weijtens, Olga

AU - van den Bosch, Willem

AU - Paridaens, Dion

PY - 2014/5

Y1 - 2014/5

N2 - 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.

AB - 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.

KW - Adipose Tissue/surgery

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Conjunctiva/surgery

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Ophthalmologic Surgical Procedures/methods

KW - Orbital Diseases/surgery

KW - Prolapse

KW - Recurrence

KW - Retrospective Studies

KW - Time Factors

KW - Treatment Outcome

U2 - 10.1111/aos.12032

DO - 10.1111/aos.12032

M3 - Article

C2 - 23402495

SN - 1755-375X

VL - 92

SP - 291

EP - 293

JO - Acta Ophthalmologica

JF - Acta Ophthalmologica

IS - 3

ER -

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

Abstract

Keywords

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