Long-Term Outcomes of a Surgical Technique in Management of Subconjunctival Orbital Fat Prolapse

Sato, Kenichi

doi:10.7759/cureus.6078

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…Previous studies have shown that more than 75% of patients with SHOF in the superotemporal quadrant were male. [2–4,6,7,9,14,15] In our experience, 40 out of the 44 patients (90.9%) with SHOF in the superotemporal quadrant were male. In addition, previous studies have shown that 38.5-76% of the cases were obese.…”

Section: Discussionmentioning

confidence: 62%

Differences in patient characteristics between subconjunctival herniated orbital fat in the superotemporal quadrant and the other quadrants: An observational study

Yokoyama,

Someda,

Vaidya

et al. 2023

Medicine

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Subconjunctival herniated orbital fat (SHOF) usually occurs in the superotemporal quadrant, and SHOF located in other quadrants is extremely rare. This study aimed to compare the patient characteristics between patients with SHOF in the superotemporal quadrant and those with SHOF in other quadrants. This is a retrospective study of 45 patients with SHOF who were referred to our institution between January 2015 and January 2023 and 14 previously reported patients in published case reports of SHOF that were not located in the superotemporal quadrant. Data on patient age, sex, affected sides, and body mass index were collected from the medical records of our institution and from previous reports. Patient age, male-to-female ratio, unilateral-to-bilateral ratio, and body mass index were compared between patients with SHOF in the superotemporal quadrant and patients with SHOF in the other quadrants. Of the 45 patients, only 1 patient showed SHOF in a location other than the superotemporal quadrant (inferonasal quadrant). Based on a comparison of 44 patients with SHOF in the superotemporal quadrant and 15 patients with SHOF in the other quadrants, the latter entity predominantly occurred in young, non-obese females (P < .050). Unilateral cases were more common in SHOF in the other quadrants (P = .003). Patient characteristics were found to be different between cases of SHOF in the superotemporal quadrant and those with SHOF in the other quadrants.

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Section: Discussionmentioning

confidence: 62%

Differences in patient characteristics between subconjunctival herniated orbital fat in the superotemporal quadrant and the other quadrants: An observational study

Yokoyama,

Someda,

Vaidya

et al. 2023

Medicine

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“…It is important to distinguish ocular lymphoma, whether primary or metastatic, from several key conditions 1,[4][5][6][7][8][9][10][11] (Table 1).…”

Section: Differential Diagnosismentioning

confidence: 99%

“…4 Overall survival for patients with relapsed mantle cell lymphoma manifesting in the orbit was 4.1 years. 15 Bilateral or unilateral 9 Appearance Vascularized, pink bullous mass in superior or inferior conjunctiva 8 or vascularized, salmon colored, swollen lacrimal gland (rare) 11 Yellow mobile mass in superior temporal conjunctiva 10 Pink-yellow, nonmobile mass at lateral canthus 4 Yellow mass in superior lateral conjunctiva with superficial fine vessels 7 Diagnosis Medical history, hematology studies, biopsy, PET/MRI 9 Clinical appearance 6 Clinical appearance 4 Hematology and endocrinology studies 9 PET = positron emission tomography.…”

Section: Prognosismentioning

confidence: 99%

Case Report: Ocular Manifestation of Mantle Cell Lymphoma

et al. 2021

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SIGNIFICANCE: Mantle cell lymphoma (MCL) is a rare lymphoma that can present even more rarely in the orbit. Diagnosis, differentiation, and systemic treatment with the help of an oncologist are necessary for improved prognosis. Eye care providers must be vigilant when addressing ocular findings to determine next steps. PURPOSE:We present a case of presumed orbital fat prolapse confirmed as MCL found on routine eye examination.CASE REPORT: A 72-year-old White man presented for an annual comprehensive eye examination and was found to have conjunctival elevation in the superior and inferior fornices bilaterally. The patient had stable lymphadenopathy on positron emission tomography/computed tomography imaging 1 week before presentation. Coupled with the patient's recent diagnosis of systemic MCL, there was high suspicion that the conjunctival lesions were malignant. Biopsy of the conjunctival lesion confirmed MCL. A reevaluation of the previous imaging with a neuroradiologist confirmed the presence of orbital lesions consistent with MCL. The patient responded to treatment with lowdose focal radiation therapy.CONCLUSIONS: Primary eye care providers should be aware of limitations of orbital imaging during routine positron emission tomography and computed tomography scans in those with MCL, and consultation with neuroradiology for image review may be useful if the clinical findings are suspicious.

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Long-Term Outcomes of a Surgical Technique in Management of Subconjunctival Orbital Fat Prolapse

Cited by 2 publications

References 11 publications

Differences in patient characteristics between subconjunctival herniated orbital fat in the superotemporal quadrant and the other quadrants: An observational study

Differences in patient characteristics between subconjunctival herniated orbital fat in the superotemporal quadrant and the other quadrants: An observational study

Case Report: Ocular Manifestation of Mantle Cell Lymphoma

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