In-Office Sutureless Correction of Prolapsed Subconjunctival Orbital Fat.


Journal Article

PURPOSE: To describe a minimally invasive, sutureless, small incision surgical technique for the treatment of subconjunctival orbital fat prolapse (SOFP) performed using local anesthesia in an office setting. METHODS: Retrospective study of the surgical outcome of 45 patients with either bilateral or unilateral SOFP treated by a single surgeon (R.S.) between July 2010 and February 2015. RESULTS: Forty-five patients (39 male, 6 female) had a mean age of 67 years. Fat prolapse was bilateral in 23 patients (51%). A total of 68 eyes were operated on. All surgeries were without any intra- or postoperative complications such as infection, dry-eye symptoms, ocular motility impairment, or recurrence with a mean follow up of 37 months. All patients had a favorable postoperative cosmetic improvement. CONCLUSIONS: The authors propose an office-based, cost-effective, minimally invasive, sutureless technique for treating SOFP with local anesthesia in a safe and effective manner. The lack of complications or recurrence with an adequate follow-up period following this technique is encouraging. Surgeons should consider this technique in the surgical correction of SOFP.

Full Text

Duke Authors

Cited Authors

  • Raparia, E; Rafailov, L; Shinder, R

Published In

Volume / Issue

  • 34 / 1

Start / End Page

  • 79 - 81

PubMed ID

  • 29036005

Pubmed Central ID

  • 29036005

Electronic International Standard Serial Number (EISSN)

  • 1537-2677

Digital Object Identifier (DOI)

  • 10.1097/IOP.0000000000001011


  • eng

Conference Location

  • United States