• 901 Steward Avenue, Suite 206, Garden City, New York,11530
    516-742-4636
  • 61 E 66th Street, New York, New York,11530
    212-265-8877

Orbital Tumors - Herniated Orbital Fat

error-file:tidyout.log

General

Clinical features

  • Rarely causes an intraorbital mass lesion
  • Mean age 66 years, 90% men
  • Prolapse is usually into superotemporal quadrant or lateral canthus
  • Usually due to orbital fat herniation through a dehiscence in Tenon's capsule
  • Manifests as unilateral or bilateral yellowish mass
  • Does not recur

Differential diagnosis

  • Pleomorphic lipoma: different clinical presentation; aggregates of bland spindle cells, floret cells and wiry collagen
  • Well differentiated liposarcoma: different clinical presentation; enlarged hyperchromatic cells within fibrous septae