Cavernous hemangioma of the orbit (CHO) is a benign slow-growing lesion of intracanal
space. Bilateral orbital cavernous hemangiomas are extremely rare, so that only a
few cases have been reported in scientific literature. A 54-year-old patient presented
a 1-year history of impaired visual acuity of the left eye. Physical examination showed
a left axial propotosis. Orbital magnetic resonance imaging showed a 28 mm diameter
intraconal space mass of the left orbit, as well as another 11 mm diameter lesion
in the right eye, in the superomedial extraconal space. A superior wall left orbitotomy
was performed with a total removal of the tumor. The right lesion was respected. Histopathological
examination confirmed the diagnosis of CHO. Bilateral cavernous hemangiomas are extremely
rare. Orbital imaging guides the diagnosis. The neurosurgeons prefer craniotomy while
ophthalmologists favor various modifications of orbitotomies.
Key-words:
Bilateral - cavernous hemangioma - orbit
