J Korean Ophthalmol Soc.  2018 Dec;59(12):1108-1113. 10.3341/jkos.2018.59.12.1108.

Clinical Features of Conjunctival Dermolipoma

• Song HJ
• Hwang HS
• Jung YY
• Kwon JW

• KMID: 2428681
• DOI: http://doi.org/10.3341/jkos.2018.59.12.1108

Abstract

PURPOSE
To evaluate the clinical features of conjunctival dermolipoma.
METHODS
We reviewed the ocular records of 18 consecutive patients diagnosed with dermolipoma in our hospital between March 2016 and March 2018.
RESULTS
The study population consisted of eight females and 10 males with a mean age of 61 months (range 3 months to 45 years old), with a pinkish conjunctival mass located at a mean of 4.7 mm (range 2-8 mm) from the temporal limbus and anterior to the lateral orbital rim. The mean visual acuity of eight patients in whom it was possible to measure visual acuity was 0.9 (range 0.6-1.0). Surgery was performed in two eyes. Pathological examination revealed conjunctival dermolipoma. Postoperatively, there was no evidence of visual changes or specific complications.
CONCLUSIONS
Conjunctival dermolipoma may be suspected in cases with a congenital subconjunctival non-movable mass, which can be confirmed by computed tomography and pathological examination.

Keyword

Conjunctival dermolipoma; Orbital fat prolapse

MeSH Terms

Female
Humans
Male
Orbit
Visual Acuity

Figure

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  Figure 1. Pre and Postoperative slit lamp photographs (A, D), preoperative orbital computed tomography (CT) (B) and histopathologic photographs (C) of the conjunctival mass in the left eye in 5-year-old boy. (A) At initial presentation, there is a dermolipoma in the temporal bulbar conjunctiva. (B) Preoperative orbital CT shows crescent-shaped fatty mass at the superotemporal aspect of the right epibulbar area, which abuts the lateral wall of the eyeball, anterior to the insertion of the lateral rectus muscle and medial to the lacrimal gland (arrow). (C) Histological examination shows abundant adipose tissue with collagenous bundles (hematoxylin and eosin [H&E] stain, ×200). (D) 1 month after surgery, there was clear excision site only with very slight conjunctival injection. A good cosmesis was achieved.

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  Figure 2. Pre and postoperative slit lamp photographs (A, D), preoperative orbital computed tomography (CT) (B) and histopathologic photographs (C) of conjunctival mass in the left eye in 45-year-old man. (A) Temporal conjunctival mass in the superotemporal area is shown. (B) Preoperative orbital CT shows crescent-shaped fatty mass from lateral conjunctiva to the area of lateral rectus muscle (arrow). (C) Histological examination reveals abundant adipose tissue and collagen bundles (hematoxylin and eosin [H&E] stain, ×200). (D) 1 week after surgery, slight subconjunctival hemorrhage and injection were shown.

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  Figure 3. A slit lamp photograph of 75-year-old women presented with a 1-year history of progressive swelling over the left eye. She had no other clinically significant medical history or trauma. There was a soft, yellowish mass in the outer temporal subconjunctival region.

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