The Supraorbital Approach to a Large Retrobulbar Cavernous Hemangioma of the Orbit-One Case Report.

Song, In Suk; Ko, Yong; Lee, Yoon Jung

doi:2010.51.3.430

J Korean Ophthalmol Soc > Volume 51(3); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(3):430-434.
DOI: https://doi.org/10.3341/jkos.2010.51.3.430 Published online March 15, 2010.

The Supraorbital Approach to a Large Retrobulbar Cavernous Hemangioma of the Orbit-One Case Report.

In Suk Song, Yong Ko, Yoon Jung Lee

¹Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. lyjot@hanyang.ac.kr
²Department of Neurosurgery, Hanyang University College of Medicine, Seoul, Korea.

안와 상부에 위치한 구후부의 안와 해면혈관종- 상안와를 통한 제거 1예

송인석¹ㆍ고용²ㆍ이윤정¹

Department of Ophthalmology, Hanyang University College of Medicine¹, Seoul, Korea, Department of Neurosurgery, Hanyang University College of Medicine², Seoul, Korea

Abstract

PURPOSE
To report a complete excision of a large superior orbital retrobulbar cavernous hemangioma using supraorbital craniotomy through the suprabrow approach combined with superior orbital wall removal. CASE SUMMARY: A 31-year-old woman presented to our clinic with left exophthalmos beginning one month earlier. Visual acuities and intraocular pressures of both eyes were normal and there was no diplopia and no limitation in ocular movement. On exophthalmometry, the right eye was 15 mm and the left eye was 18 mm. CT and MRI demonstrated a superior orbital retrobulbar mass of 2.0x2.6x2.0 cm in size, and the mass displaced the superior rectus and levator palpebrae muscles. After six months, a neurosurgeon attempted a classic supraorbital craniotomy but failed. Fourteen months later, the authors completely excised the tumor through superior orbital wall removal. The tumor was confirmed as a cavernous hemangioma after histopathologic study. CONCLUSIONS: The authors succeeded in complete excision of a superior orbital retrobulbar cavernous hemangioma using supraorbital craniotomy through a suprabrow approach combined with superior orbital wall removal.

Key Words: Cavernous hemangioma;Exophthalmos;Supraorbital craniotomy