PMC5533564_01
Initial presentation with subconjunctival hemorrhage and periorbital ecchymosis.
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In the LE, there was SCH involving the bulbar temporal conjunctiva, along with upper eyelid edema and periorbital ecchymosis (Figure 1).
Axial proptosis of the left eye with inferior scleral show.
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However, the left eyeball was proptosed with inferior scleral show (Figure 2).
Magnetic resonance imaging (axial section) showing intraconal mass lesion in the left orbit (arrow).
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T1/T2 hyperintense with a mass effect on optic nerve, medial rectus and posterior surface of globe. The presence of T1 hyperintensity (plain and fat suppression) indicated the presence of blood degradation products suggestive of intralesional thrombosis (Figures 3-5).
Magnetic resonance imaging of axial (A) and coronal (B) section.. Notes: Magnetic resonance imaging (A) axial section with arrow pointing to the well defined mass lesion seen posterior to the eyeball and (B) coronal section with arrows delineating the lesion to the superomedial quadrant of the orbit.. Abbreviation: RHP, right headend posterior.
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T1/T2 hyperintense with a mass effect on optic nerve, medial rectus and posterior surface of globe. The presence of T1 hyperintensity (plain and fat suppression) indicated the presence of blood degradation products suggestive of intralesional thrombosis (Figures 3-5).
Magnetic resonance imaging showing sagittal section.. Note: Magnetic resonance imaging (sagittal section) showing well defined intraconal mass lesion causing indentation of the posterior part of the eyeball (arrow).
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T1/T2 hyperintense with a mass effect on optic nerve, medial rectus and posterior surface of globe. The presence of T1 hyperintensity (plain and fat suppression) indicated the presence of blood degradation products suggestive of intralesional thrombosis (Figures 3-5).
Intraoperative image.
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The posterior portion (medial part) of the roof of the orbit was removed (Figure 6).
Intraoperative image showing the incision being made on the periorbita.
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The periorbita was incised (Figure 7).
Intraoperative image showing the prolapsing orbital fat and the hemangioma within the cut ends of the periorbita.
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The hemangioma was seen as a dark globular mass (Figure 8).
Intraoperative image showing the exposed globular mass of the hemangioma.
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There was a single vascular pedicle on the superolateral aspect, which was coagulated and divided to excise the entire mass of the hemangioma (Figure 9).
Postoperative CT image.. Abbreviations: AL, anterior left; PR, posterior right.
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The postoperative computerized tomogram confirmed that the mass had been completely excised (Figure 10).
Clinical picture 1 month after surgery.
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When seen 1 month after surgery, she was found to have had a complete (20/20) visual recovery (Figure 11).