Combined endoscopic and computed tomography guided trans-nasal embolisation of intramuscular hemangioma of the medial rectus muscle: a rare case

Abstract

<p>Hemangiomas are benign vascular malformations. Intramuscular hemangiomas (IMH) of the extraocular muscles are exceedingly rare. So far, only eight cases have been previously reported in the medical literature till date. We report a rare case of an intramuscular hemangioma of the medial rectus muscle presenting severe pain in the right eye and redness in the right sclera. We administered analgesics and steroids for six weeks, with no pain relief. Right ethmoidal dissection was done, and a window was made over the lamina papyracea, and a needle was placed directly into the mass under combined endoscopy and computed tomography (CT)-scan guidance. The mass was embolised with 33% glue and lipiodol. The patient recovered from the pain, and complete vision was restored. Eye discolouration got wholly cured within two weeks.</p>