title: Diagnosis and excision of subconjunctival herniation of orbital fat.
abstract: OBJECTIVE
  To present and discuss a case of herniation of subconjunctival orbital fat, a very rare but benign condition.
  
  
  METHODS
  An 84-year-old man presented to the eye clinic for a cataract surgery consultation but also had a secondary complaint about yellow lesions on the bulbar conjunctiva of both eyes. Examination with biomicroscopy revealed protruding orbital masses superotemporally in both eyes, with the right lesion being larger than the left. After thorough testing, these lesions were diagnosed as being subconjuntival herniated orbital fat (HOF), and the patient underwent surgical excision of the lesions.
  
  
  CONCLUSIONS
  In cases of HOF, appropriate and accurate testing is essential, as this condition can mimic several other neoplasms, all of which require specialized treatment strategies. If cosmesis is unacceptable to the patient or the lesion impedes normal ocular function, a subconjunctival excision of the excess fat may be performed with little concern of recurrence. This article discusses a case of HOF, with an explanation of testing and treatment options.
authors.affiliation: *OD, DO, MS †OD Department of Ophthalmology, Mayo Clinic Health System, Albert Lea, Minnesota (LS, Jr.); and MacDill Air Force Base, Tampa, Florida (CR).
authors.forename: Leonid
authors.initials: L
authors.lastname: Skorin
authors.forename: Caleb
authors.initials: C
authors.lastname: Rink
mesh_terms: D000273:Adipose Tissue / Q000473:pathology*; D000368:Aged; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000601:surgery*; D006547:Hernia / Q000175:diagnosis*; D059685:Herniorrhaphy; D006801:Humans; D008068:Lipomatosis / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed