ePlasty: Vol. 16
An Interesting Case of a Retrobulbar Cavernous Hemangioma
Matthew A. Applebaum, MS, MBA,a Timothy E. Lee, MS,a Connor Barnes, MD,b Joshua B. Elston, MD,b and David J. Smith, MDb

aUniversity of South Florida Morsani College of Medicine, Tampa; and bDivision of Plastic Surgery, Department of Surgery, University of South Florida, Tampa

Correspondence: mappleba@health.usf.edu
Keywords: cavernous hemangioma, cavernous venous malformation, orbital venous malformation, intraorbital mass, retrobulbar mass


A 41-year-old woman presented with an asymptomatic left infraorbital mass that had continuously grown over a 4-year period. A magnetic resonance image showed a retroseptal mass without involvement of the neurovasculature or intrinsic musculature of the eye. Excisional biopsy showed a well-circumscribed, benign vascular proliferation, consistent with a cavernous hemangioma or cavernous venous malformation.


1. What is a cavernous-hemangioma or cavernous venous malformation of the orbit?

2. How do orbital cavernous venous malformations present?

3. What are some differential diagnoses of orbital cavernous malformation?

4. What are the current diagnostic tools and treatment options for orbital cavernous malformations?


A cavernous venou .......