Subconjunctival Fat Prolapse

Subconjunctival fat prolapse is an extremely rare condition. Confirmation of the fatty nature of this lesion and demonstration of the focal tenon capsule defect makes Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) of orbit the investigations of choice. This manuscript report a 69-year-old female, who presented with complaints of swelling in lateral aspect of both orbit, since two years. On clinical examination, there was yellowish coloured swelling in the superolateral quadrant of bilateral orbit. CT scan show herniation of intraconal fat content through the defect at the tenon capsule, intermuscular septum and thus, confirmed the nature of lesion and the diagnosis. The patient was not willing for surgical correction and preferred regular follow-ups.