A new surgical technique for the management of orbital fat prolapse

PURPOSE: 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. CONCLUSION: We successfully treated orbital fat prolapse with conjunctival fixation to the sclera, a new surgical approach for this condition. (Am J Ophthalmol 2001; 131:267-269, (C) 2001 by Elsevier Science Inc, All rights reserved.).