TITLE:
Surgical treatment of Lipodermoids - Case Report
AUTHORS:
Shoshi Flaka, Hoxha-Shoshi Mire, Shoshi Fitore, Shoshi Fjolla, Shoshi Avdyl
KEYWORDS:
Lipodermoids, Intra-Operative Injuries, Treatment
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.10 No.1,
December
24,
2019
ABSTRACT: Lipodermoids are abnormal epibulbar growths of the adipose tissue. A conjunctival lesion, the
lipodermoid (dermolipoma) is usually located near the temporal fornix and is composed of adipose tissue
and dense connective tissue. The overlying conjunctival epithelium is normal, and hair follicles are
absent. Lipodermoids may be extensive, sometimes involving orbital tissue, lacrimal gland, and
extraocular muscle. Surgical treatment is only indicated when the existing lipodermoid disturbs the
patient either functionally or aesthetically.
Purpose
The main purpose of this study is to present our experience on the surgical treatment of
lipodermoids in those cases when lipodermoids cause functional and aesthetic problem to the
patient.
Materials and Methods
In our study we have included two cases of male gender, one with bilateral lipodermoid (in both
eyes) while the other with a mono lateral lipodermoid (only in one eye). The treatment was
surgical, where we carefully removed the lipodermoid lesion inside palpebral fissures, to fully
preserve the bulbar conjunctiva and Tenon’s membrane during the removal of the conjunctival
lipodermoid.Surgery was performed under local anesthesia (lidocaine 2% and adrenaline). The
surgical area was set ready by using betadine 5%.
Results
In both cases there were neither intra-operative nor extra-operative complications and the results
were positive.Also the functional and aesthetic problems were corrected. There was no
recurrence encountered.Conclusions
In conclusion, based on the results of this study, in the rare cases of lipodermoids where surgical
treatment is necessary, it is very important to perform a careful surgical intervention, in order to
prevent any intra-operative injuries of the lacrimal gland and the lateral and superior rectus
muscles. In general the surgical treatment is a successful method on treating lipodermoids, in
cases when they concern the patient both functionally and aesthetically.