Abstract
Cavernous hemangioma is the most common primary vascular orbital tumor in adults. The usual presentation of such benign tumors is proptosis with choroidal folds due to intraconal localization. We report a case of 58-year-old male with an unusual presentation of cavernous hemangioma resulting into a picture resembling lower-lid baggy fat bags. Data including clinical picture of both eyes, magnetic resonance imaging (MRI) orbit showing mass located anteriorly, intraoperative view of transcutaneous anterior inferior orbitotomy, and histopathological examination results. A 58-year-old male patient presented with left lower eyelid swelling worsening over the past 6 months. The patient had an asymmetric lower lid fullness. A soft palpable, noncompressible mass in the left orbit beneath the lower eyelid was noticed suspicious for an orbital mass. Other ocular and systemic examinations were within normal limits. Orbital computed tomography scan with contrast revealed a well-defined, enhancing mass within the left orbit, measuring 2.5 cm × 1.5 cm, situated anterior to the eyeball and mimicking lower eyelid fat bags. MRI confirmed the presence of the mass, and angiographic sequences demonstrated marked vascularity. Histopathological examination confirmed the diagnosis of cavernous hemangioma. In conclusion, the presented case emphasizes the importance of a systematic approach to the evaluation of eyelid and orbital conditions. Awareness of uncommon orbital pathologies and the appropriate use of diagnostic imaging are essential for accurate diagnosis and tailored treatment planning. In cases like these, interdisciplinary collaboration between ophthalmologists, radiologists, and oculoplastic surgeons is critical for optimal patient care.
Published Version
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