The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
A 13 year-old girl is referred from a private
ophthalmologist because of the presence of a left inferior orbital mass and
inferior eyelid discoloration. The mass is firm to touch and cannot be
reduced. There is no expansion of the mass with Valsalva's maneuver. CT scan
shows a soft tissue mass with lobulated margins in the left anterior cheek
extending into the inferior aspect of the left orbit. The orbit contains
several nodular calcifications up to 1 cm in size and the soft tissue
component showed moderate enhancement after IV contrast. The lesion extended
into the infraorbital foramen. The mass abuts the inferior rectus and
inferior aspect of the globe. The appearance is suggestive of haemangioma
with phleboliths. Before a decision is made for excision, a MRI scan is
requested to further delineate the lesion.
Left inferior orbital mass with skin
discoloration and some mid-facial asymmetry.