Abstract

Intraorbital cavernous hemangiomas are the most common benign vascular tumours of the orbit in adults. The clinical presentation is a slowly progressive intraorbital mass syndrome causing often late exophthalmos of varying grade. It may be accompanied by reduced visual acuity or ocular motility disorder. Computed tomography and magnetic resonance imaging lead to an accurate diagnosis in the vast majority of cases and pathology confirm the diagnosis. The treatment is not always indicated and when it is indicated it is exclusively surgical. The vital and functional prognosis is good and the recurrence is almost exceptional. We report the case of a 49-year-old patient who presented with a decrease in visual acuity of his left eye caused by cavernous haemangioma of the orbit.

Key words: Cavernous haemangioma, benign tumors, MRI, Surgical approach, Orbitotomy