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CASE REPORT
Year : 2021  |  Volume : 35  |  Issue : 4  |  Page : 350-352

Intra-orbital fat necrosis following transcaruncular orbitotomy mimicking a surgical site infection: A case report


1 Consultant Ocular Oncology and Ophthalmic Plastic Surgery, The Operation Eyesight Universal Institute for Eye Cancer, LV Prasad Eye Institute, Bhubaneshwar, Odisha, India
2 Dalmia Ophthalmic Pathology Services, LV Prasad Eye Institute, Bhubaneshwar, Odisha, India
3 Orange Imaging Center, Vijayawada, Andhra Pradesh, India

Correspondence Address:
Dr. Anasua G Kapoor
The Operation Eyesight Universal Institute for Eye Cancer, LV Prasad Eye Institute, Vijayawada, Krishna - 521 137, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-4534.347307

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Fat necrosis is a benign non-suppurative inflammation of adipose tissue most commonly occurring in breast, subcutaneous tissue or intraabdominal fat post trauma, surgery, radiation. Transcaruncularorbitotomy provides a safe, rapid, and cosmetically pleasing approach to the medial wall and orbital apex. Intraorbital fat necrosis as its complication has not been documented in literature. The authors report the case of an elderly lady who presented with localized pain, swelling following a transcaruncular orbitotomy for excision biopsy of an orbital vascular mass. The etiology, clinical presentation, intraoperative finding, imaging, and possible mechanisms contributing to the pathogenesis of postsurgical orbital fat necrosis has been suggested.


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