Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera

Natsuko Nakamura,1 Kunihiko Akiyama,1,2 Chika Shigeyasu,1,3 Masakazu Yamada1,31Division for Vision Research, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, 2Department of Ophthalmology, National Tokyo Medical Center, Tokyo, 3Department of Ophthalmology, Kyorin University...

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Autores principales:	Nakamura N, Akiyama K, Shigeyasu C, Yamada M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/703738d6015645329c5532a716b9798a
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spelling	oai:doaj.org-article:703738d6015645329c5532a716b9798a2021-12-02T00:21:33ZSurgical repair of orbital fat prolapse by conjunctival fixation to the sclera1177-5483https://doaj.org/article/703738d6015645329c5532a716b9798a2015-09-01T00:00:00Zhttps://www.dovepress.com/surgical-repair-of-orbital-fat-prolapse-by-conjunctival-fixation-to-th-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Natsuko Nakamura,1 Kunihiko Akiyama,1,2 Chika Shigeyasu,1,3 Masakazu Yamada1,31Division for Vision Research, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, 2Department of Ophthalmology, National Tokyo Medical Center, Tokyo, 3Department of Ophthalmology, Kyorin University School of Medicine, Mitaka, JapanPurpose: The aim of the study described here was to report the outcomes of surgery for orbital fat prolapse by conjunctival fixation to the sclera.Patients and methods: Twenty-three consecutive eyes of 19 patients with orbital fat prolapse were retrospectively reviewed. All cases were treated with the same simple procedure without resection through conjunctival incision: fixation of conjunctiva to the sclera with interrupted sutures of 10-0 nylon in two rows located approximately 12–14 mm posterior to the limbus. These sutures formed an embankment to keep the prolapsed fat posteriorly. Postoperative results were determined by slit-lamp examination and recurrence of prolapse was defined as the presence of orbital fat anterior to the embankment.Results: During the mean follow-up period of 19 months (range: 1-59 months), one case experienced recurrence which required further surgery. None of the other cases experienced recurrence, and there were no intraoperative or postoperative complications.Conclusion: Conjunctival fixation to the sclera was a simple and effective surgical technique for orbital fat prolapse, with less invasion compared to the conventional method that requires conjunctival incision.Keywords: surgical technique, herniation, orbital fat, conjunctiva, suture, 10-0 nylonNakamura NAkiyama KShigeyasu CYamada MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1741-1744 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Nakamura N Akiyama K Shigeyasu C Yamada M Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
description	Natsuko Nakamura,1 Kunihiko Akiyama,1,2 Chika Shigeyasu,1,3 Masakazu Yamada1,31Division for Vision Research, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, 2Department of Ophthalmology, National Tokyo Medical Center, Tokyo, 3Department of Ophthalmology, Kyorin University School of Medicine, Mitaka, JapanPurpose: The aim of the study described here was to report the outcomes of surgery for orbital fat prolapse by conjunctival fixation to the sclera.Patients and methods: Twenty-three consecutive eyes of 19 patients with orbital fat prolapse were retrospectively reviewed. All cases were treated with the same simple procedure without resection through conjunctival incision: fixation of conjunctiva to the sclera with interrupted sutures of 10-0 nylon in two rows located approximately 12–14 mm posterior to the limbus. These sutures formed an embankment to keep the prolapsed fat posteriorly. Postoperative results were determined by slit-lamp examination and recurrence of prolapse was defined as the presence of orbital fat anterior to the embankment.Results: During the mean follow-up period of 19 months (range: 1-59 months), one case experienced recurrence which required further surgery. None of the other cases experienced recurrence, and there were no intraoperative or postoperative complications.Conclusion: Conjunctival fixation to the sclera was a simple and effective surgical technique for orbital fat prolapse, with less invasion compared to the conventional method that requires conjunctival incision.Keywords: surgical technique, herniation, orbital fat, conjunctiva, suture, 10-0 nylon
format	article
author	Nakamura N Akiyama K Shigeyasu C Yamada M
author_facet	Nakamura N Akiyama K Shigeyasu C Yamada M
author_sort	Nakamura N
title	Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
title_short	Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
title_full	Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
title_fullStr	Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
title_full_unstemmed	Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
title_sort	surgical repair of orbital fat prolapse by conjunctival fixation to the sclera
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/703738d6015645329c5532a716b9798a
work_keys_str_mv	AT nakamuran surgicalrepairoforbitalfatprolapsebyconjunctivalfixationtothesclera AT akiyamak surgicalrepairoforbitalfatprolapsebyconjunctivalfixationtothesclera AT shigeyasuc surgicalrepairoforbitalfatprolapsebyconjunctivalfixationtothesclera AT yamadam surgicalrepairoforbitalfatprolapsebyconjunctivalfixationtothesclera
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Surgical repair of orbital fat prolapse by conjunctival fixation to the sclera

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