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Cavernous hemangioma of the orbit: an unusual acute presentation

Authors Louisraj S, Ponnudurai T, Rodriguez D, Thomas PA, Nelson Jesudasan CA

Received 26 January 2017

Accepted for publication 13 June 2017

Published 24 July 2017 Volume 2017:10 Pages 255—259


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Sophia Louisraj,1 Thendral Ponnudurai,1 Dominic Rodriguez,2 Philip A Thomas,1 Christadoss Arul Nelson Jesudasan,1

1Department of Orbit and Oculoplasty, Joseph Eye Hospital, 2Department of Medicine, Kauvery Medical Centre, Tiruchirapalli, India

Abstract: We report an unusual presentation of an orbital cavernous hemangioma in a 26-year-old female, who noted sudden redness and swelling of the left eye (LE) on waking up. At presentation, upper eyelid edema with periorbital ecchymosis and subconjunctival hemorrhage were noted in the LE. Although there was transient symptomatic relief with topical medications, blurring of vision developed in the LE. When seen 10 days later, the patient’s LE showed axial proptosis. Magnetic resonance imaging revealed an intraconal soft tissue mass in the superomedial quadrant of the left orbit. Superior orbitotomy with mass excision was done; histopathological examination of the excised mass revealed a cavernous hemangioma. The patient had complete visual recovery following surgery. To our knowledge, an acute presentation of an orbital cavernous hemangioma with subconjunctival hemorrhage and periorbital ecchymosis has not previously been reported.

Keywords: subconjunctival hemorrhage, ecchymosis, cavernous hemangioma

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