The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Orbital haemangioma

Photo by Professor Chua Chung Nen

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.

 

Inferior orbital mass with calcifications.

 

Saggital view of the mass.

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