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Cavernous haemangiomas of the orbit
1Orbital Clinic, Moorfields Eye Hospital, London.
Australian and New Zealand Journal of Ophthalmology
|November 1, 1989
Summary
Cavernous haemangiomas, vascular masses often seen in middle-aged women, typically present as painless proptosis. Complete surgical excision is usually feasible with low morbidity.
Area of Science:
- Ophthalmology
- Vascular Surgery
- Pathology
Background:
- Cavernous haemangiomas are benign vascular tumors.
- They commonly affect middle-aged women.
- Orbital cavernous haemangiomas often occur lateral to the optic nerve.
Purpose of the Study:
- To describe the clinical characteristics and management of orbital cavernous haemangiomas.
- To analyze the predilection for specific anatomical locations.
- To report surgical outcomes in a consecutive case series.
Main Methods:
- Retrospective review of 85 consecutive cases.
- Clinical data collection including presentation, location, and treatment.
- Surgical excision as the primary treatment modality.
Main Results:
- The majority of cavernous haemangiomas occurred within the muscle cone lateral to the optic nerve.
- Patients presented with slowly progressive, painless proptosis.
- Complete excision was achieved in all cases with low surgical morbidity.
Conclusions:
- Orbital cavernous haemangiomas are well-circumscribed vascular masses.
- Their typical location may relate to an arterial origin.
- Surgical management is effective with favorable outcomes.