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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 51-53

Unusual extraconal presentation of orbital cavernous hemangioma

Department of Oculoplastics, Lotus Eye Hospital and Institute, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Harikrishnan Marappan
Lotus Eye Hospital and Institute, Coimbatore, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jocr.jocr_28_21

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A 27-year-old male patient complained of dull aching pain in the right eye (RE) for 3 months. On examination, the patient had mild proptosis of RE with downward displacement and fullness in superotemporal quadrant. No palpable mass was felt, and finger insinuation was possible, the swelling did not change in size on bending, coughing, and not pulsatile, and no bruit was heard. Visual acuity, color vision, and confrontation were normal. Mild ptosis with minimal abduction and elevation restriction was noted. MRI orbits revealed well defined fusiform, lobulated, extraconal soft tissue lesion in the superotemporal aspect causing abaxial proptosis with scalloping and thinning of bony orbital roof. Histopathology reveals features suggestive of cavernous hemangioma. Even though the most common location of cavernous hemangioma is intra-conal, its extra- conal occurrence also possible and needs high suspicion.

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