EyeRounds Online Atlas of Ophthalmology
Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry
*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.
This is the typical location for a lipodermoid of the orbit. Because of the potentiality for complications, surgery should not be performed unless the lesion changes significantly.
Lipodermoid / dermolipoma
From Yanoff and Fine, Ocular Pathology: " A dermolipoma, encountered as a bilateral large yellowish white soft tumor near the temporal canthus and extending backward and upward, is a form of solid dermoid composed primarily of fatty tissue."
The photo shows a typical lipodermoid in its usual location.The lipodermoid is a congenital, benign tumor that lies beneath the conjunctiva It is yellowish, movable, and has a smooth surface.
Lipodermoid, both eyes
" Lipodermoids are solid tumors usually found beneath the conjunctiva adjacent to the superior temporal quadrant of the globe. Unless these lesions enlarge dramatically, they should be observed without surgery, since excision may be complicated by ptosis, restricted ocular motility, or damage to the globe. " Reference: Pavan-Langston, Manual of Ocular Diagnosis and Therapy, second edition, p.61, 1988.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.