A new surgical technique for the management of orbital fat prolapse.
OBJECTIVE
To present a new surgical technique for the management of orbital fat prolapse.


METHODS
Four eyes of three patients (average age +/- SD: 73.0 +/- 6.9 years; range, 69 to 81 years) who presented with orbital fat prolapse were treated with conjunctival fixation to the sclera approximately 8 to 10 mm posterior to the corneoscleral limbs in the area of orbital fat prolapse with four to seven 6.0 Vicryl (polyglactin 910, Johnson & Johnson, New Brunswick, New Jersey) stitches.


RESULTS
The treatment with conjunctival fixation to the sclera was successful in all four eyes, and during a mean follow-up period of 357.5 days (+/-SD: +/-189 days; range, 641 to 263 days), there has been no recurrence of orbital fat prolapse.


CONCLUSIONS
We successfully treated orbital fat prolapse with conjunctival fixation to the sclera, a new surgical approach for this condition.
Department of Ophthalmology, Shizuoka Red Cross Hospital, 8-2 Outemachi, Shizuoka 420-0853, Japan. otaka@isao.com
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Otaka
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Kyu
D000273:Adipose Tissue / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva / Q000601:surgery; D006801:Humans; D013508:Ophthalmologic Surgical Procedures; D009916:Orbital Diseases / Q000473:pathology / Q000601:surgery*; D011391:Prolapse; D012590:Sclera / Q000601:surgery; D013536:Suture Techniques