Author/Authors :
Bagheri, Abbas Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Khandan, Sakineh Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Salour, Hossein Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Aletaha, Maryam Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Abrishami, Alireza Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Purpose: To report late recurrence of orbital cavernous hemangioma in a patient ten
years after complete resection of the primary tumor.
Case Report: A 32-year-old woman with a history of progressive visual loss and proptosis
underwent lateral orbitotomy for resection of a large cavernous hemangioma. Ten
years later, proptosis recurred and the patient developed progressive ocular deviation.
Imaging studies were in favor of a recurrent cavernous hemangioma and the tumor
was excised via the previous incision site. Reassessment of previous orbital images
suggested the presence of two separate tumors, only one of which had been excised
at the time of initial surgery.
Conclusion: Recurrent orbital cavernous hemangioma may follow incomplete excision
of multiple orbital lesions with gradual growth of unidentified residual tumors.
Accordingly, when an encapsulated cavernous hemangioma is removed, exploration
is recommended to rule out multiple lesions.
