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Letter to the Editor
Bilateral cavernous haemangiomas of the orbit
  1. JERRY A SHIELDS
  1. Oncology Service,Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA, 19107, USA
  2. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  3. Oncology Service
  4. Department of Pathology
  5. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  6. Oncology Service
  1. R NICK HOGAN
  1. Oncology Service,Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA, 19107, USA
  2. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  3. Oncology Service
  4. Department of Pathology
  5. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  6. Oncology Service
  1. CAROL L SHIELDS
  1. Oncology Service,Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA, 19107, USA
  2. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  3. Oncology Service
  4. Department of Pathology
  5. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  6. Oncology Service
  1. RALPH C EAGLE, JR
  1. Oncology Service,Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA, 19107, USA
  2. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  3. Oncology Service
  4. Department of Pathology
  5. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  6. Oncology Service
  1. ROBERT H KENNEDY
  1. Oncology Service,Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA, 19107, USA
  2. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  3. Oncology Service
  4. Department of Pathology
  5. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  6. Oncology Service
  1. ARUN D SINGH
  1. Oncology Service,Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA, 19107, USA
  2. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  3. Oncology Service
  4. Department of Pathology
  5. Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA and the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
  6. Oncology Service
  1. Dr Jerry A Shields

https://doi.org/10.1136/bjo.84.8.928

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    Editor,—The great majority of orbital tumours are unilateral. However, some conditions, such as idiopathic orbital inflammation (“pseudotumour”), granulomatous inflammation, lymphoid tumours, or metastases sometimes can be bilateral. Orbital cavernous haemangioma is almost always unilateral.1 2 We report a patient with bilateral orbital cavernous haemangiomas that caused unilateral proptosis and visual distortion.

    CASE REPORT

    A 37 year old man developed distorted vision in the inferior field of his left eye and was found to have mild left proptosis. There was mild swelling of the left optic disc and a small inferonasal visual field defect. Orbital computed tomography (CT) revealed bilateral orbital masses and the patient was referred to the oncology service for another opinion and management. His visual acuity was 6/6 …

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