Dr. Ashu Pilania, Dr. Mir Alam Siddique
We report the first case of conjunctival fibrolipoma from India. An 18 year old female from Guwahati, Assam presented with a swelling over outer part of left eye for ten years with a gradual increase in size since last two years. Magnetic resonance imaging (MRI) revealed T1 and T2 hyper-intense lesion in temporal aspect of left eyeball without any involvement of optic nerve or any hypertrophy of extra-ocular muscles. A careful dissection was done because of proximity of the lesion with lateral rectus muscle and optic nerve, followed by it’s excision. The diagnosis of fibrolipoma was made by histopathological examination. There was no evidence of recurrence of tumor at 2 years follow up. Fibrolipoma is one of the rare variant of the lipoma and only few cases have been reported in the orbit. The case we have reported is first of its kind in India to author’s knowledge.