If a yellow lump appears prominently on the sclera when looking in the mirror, it may be necessary to suspect 'orbital fat prolapse.' Although it may appear as a simple lump, it is a condition where fat protrudes due to weakened conjunctiva.

● Does aging weaken the conjunctiva, causing fat to protrude?

According to Kim Eye Hospital, orbital fat prolapse occurs when the conjunctiva surrounding the eye weakens, allowing fat from the orbit to protrude forward. Aging is primarily cited as the main cause, and there is a high possibility of recurrence.

The size of the fat varies greatly among individuals. In some cases, it is only visible when the eyelid is lifted, but in severe cases, it can protrude to the extent that it gets caught between the upper and lower eyelids when closing the eyes. Since there is no pain or vision impairment, it is often discovered accidentally while looking in the mirror.

● Aging weakens the conjunctiva, causing fat to protrude


If yellow lumps are detected on both sides of the sclera or if a soft mass is felt, there is a high possibility of orbital fat prolapse. For an accurate diagnosis, an ophthalmic examination using a slit lamp microscope or palpation test is required.

If the symptoms are not uncomfortable, they do not significantly affect vision. However, if there is a sensation of dry eyes, using artificial tears to aid lubrication is recommended.

● No issue with vision... Can be removed for cosmetic reasons


Although there is no issue with vision, if removal is desired for cosmetic reasons, it can be corrected with a simple surgery. The procedure involves incising the conjunctiva to remove the protruding fat and then suturing it, with a short surgery time and quick recovery.

After surgery, temporary redness or a foreign body sensation may occur, but it usually improves over time. The surgical method varies depending on the location and size of the fat and the condition of the conjunctiva, so a personalized diagnosis is necessary.

Baek Kyung-hwa, a specialist at the Plastic Ophthalmology Center of Kim Eye Hospital, stated, "The protrusion of fat due to the weakening of the membrane that surrounds it is a change caused by aging. If there is discomfort or a desire for cosmetic improvement, it can be easily resolved with surgery," recommending consultation with experienced medical professionals.

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