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

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

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Retro-bulbar mass

Photo by Professor Chua Chung Nen

A 50 year-old man suffered from right decreased vision. He gave a 4-year history of progressive left proptosis which was attributed to a retrobulbar mass of unknown histology. The reduced vision was caused by a dense cataract and there was no relative afferent pupillary defect. A repeat CT scan showed a retrobulbar mass lateral to the optic nerve and there was no significant growth when compared with the scan taken 3 years ago. He underwent a successful left phacoemulsification and implant with good vision (6/9 without glasses). Excision of the retrobulbar mass was suggested but declined by the patient because of the risk of visual loss. In view of the history and the radiological appearance, the retrobulbar mass was likely to be a cavernous haemangioma.

 

Left axial proptosis and dense cataract.

 

CT scan shows a well-circumscribed retrobulbar mass lateral to the optic nerve.

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