RT Journal Article SR Electronic T1 Analysis of clinically suspected orbital cavernomas JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 1653 OP 1656 DO 10.1136/bjo.2009.177147 VO 94 IS 12 A1 Wiegand, S A1 Zimmermann, A P A1 Eivazi, B A1 Sesterhenn, A M A1 Sekundo, W A1 Bien, S A1 Werner, J A A1 Barth, P J YR 2010 UL http://bjo.bmj.com/content/94/12/1653.abstract AB Background Orbital cavernomas are low-flow vascular malformations that are the most common benign neoplasms of the orbit in adults, typically becoming symptomatic in the middle age.Methods The medical records of six patients with clinically suspected orbital cavernomas receiving elective surgical excision were analysed concerning symptoms, physical findings, treatment results and visual outcome. The pathologic slides were evaluated, and additional immunohistochemical stains were done if necessary to obtain diagnosis.Results Histologic evaluation revealed three of six cases not being cavernomas, although the clinical and macroscopic findings were consistent with orbital cavernomas. Two of them were haemorrhagic lymphangiomas, and one was a solitary fibrous tumour.Conclusions Haemorrhagic lymphangiomas and other vascular tumours may mimic orbital cavernomas regarding anamnesis, radiologic and intraoperative findings and gross examination. Therefore, exact histologic evaluation is necessary to get the correct diagnosis.