Bilateral orbital fat prolapse in cutis laxa

Editor,—The association of ocular abnormality with cutis laxa has been described only in de Barsey syndrome, a rare condition in which cutis laxa is associated with corneal clouding, mental retardation, and athetosis.1 2 Orbital fat prolapse is not uncommon and occasionally occurs bilaterally, usually in older patients. We describe the occurrence of bilateral orbital fat prolapse at an unusually young age in a patient with autosomal recessive cutis laxa. ### CASE REPORT A 37 year old woman with autosomal recessive cutis laxa and characteristic facies (Fig 1) presented with a soft, mobile, pale yellow mass beneath the temporal bulbar conjunctiva of each eye, but more prominently on the right (Figs 1 …