Abstract

Introduction: Cavernous haemangiomas are common benign orbital tumours. We report a case where combined treatment using intralesional sclerosants followed by argon laser excision of the tumour was done. Case report: A 19-year-old girl presented with a swelling of the right upper lid of 9 years duration causing mechanical ptosis. It was reducible, fluctuant and non-pulsatile. Skin over the swelling was pinchable with no engorged veins. CT scan showed a circumscribed no enhancing lesion in the anterolateral part of orbital cavity extending to the extraconal compartment suggestive of cavernous haemangioma. Sodium Tetradecyl sulphate was given intralesional under ultrasound guidance over 1 year. Residual mass was excised surgically using diode laser. Histopathology favoured cavernous haemangioma. Conclusion: The dual therapy in the treatment of orbital haemangioma involving the upper lid is beneficial therapeutically and cosmetically due to acceptable aesthetic and functional outcomes.

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