Cavernous Hemangioma of the Orbit: A Case Report

Cavernous hemangiomas (CH) are the most common primary vascular tumors in adults, often located within the muscle cone of the orbit. These benign tumors typically present with progressive exophthalmos and visual disturbances. This case report details the presentation, diagnosis, and management of an orbital cavernous hemangioma (OCH) in a 29-year-old male with a 4-year history of non-pulsatile, irreducible exophthalmos and gradual vision loss. Imaging, including contrast-enhanced CT, confirmed the diagnosis, and surgical excision was performed using a left hemi-coronal approach. Postoperatively, the patient had an uneventful recovery, and histopathology confirmed the mass as a cavernous hemangioma. OCHs, though rare, are the most common benign orbital tumors, and surgical removal remains the treatment of choice, particularly when the tumor causes functional or aesthetic concerns. Conservative management may be considered for small, asymptomatic lesions. The prognosis is generally excellent following complete excision, with a low recurrence rate and significant improvement in both cosmetic and functional outcomes. Early diagnosis through imaging and careful surgical planning is critical for optimal results.