Ocular and orbital tumors, both benign and malignant, occur relatively frequently in infants and children. Benign masses are much more common than malignant in the orbital region. We report an unusual presentation of an orbital cavernous hemangioma in a 1.5-year-old female, who had sudden redness and swelling of the right eye on waking up. At presentation, upper eyelid edema with periorbital ecchymosis and subconjunctival hemorrhage were noted in the right eye. Right eye showed axial proptosis. Magnetic resonance imaging revealed an intraconal soft tissue mass in the superolateral quadrant of the right orbit. Superior orbitotomy with mass excision was done; histopathological examination of the excised mass revealed a cavernous hemangioma.

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Dr Santosh Kumar

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