A rare case report of conjunctival fibrolipoma in an adolescent

Abstract

Fibrolipomas are a fat-containing lesions that are characterised by the presence of adipose tissue and rich amounts of fibrous tissues. We present a case of a18-year-old female presented with complaints of swelling over outer part of left eye for 2 years . Magnetic resonance imaging (MRI) revealed T1 and T2 hyper-intense lesion in temporal aspect of left eyeball without any involvement of optic nerve or any hypertrophy of extra-ocular muscles. A careful dissection was done because of proximity of the lesion with lateral rectus and optic nerve, followed by excision. The diagnosis of fibrolipoma was made on histopathological examination. Fibrolipoma is a rare variant of the lipoma and only few cases have been reported in the orbit till date. The case we have reported is first of its kind in India.