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Sugyani Satapathy*, Epsita Gantayat, Sabita Devi and Mukta Prasad


Purpose: We describe clinical and pathologic picture of a young patient with isolated cavernous hemangioma of eyelid managed successfully. Method: A 24 years female presented to our OPD with firm globular, multi-lobulated & non-reducible mass over her left upper eyelid having indolent course With total duration of eight years of presentation, she was having defective vision for last four years due to presence of 5 by 5 cm dimension mass near medial canthus extending to lateral canthus and occupying space below eyebrow to lid margin of left eyelid. As an adaptation for better vision, she used to keep her head erect and chin elevated. MRI concluded with a T2 hyperintense lesion with patchy contrast enhancement. Result: Excision under local anesthesia followed by biopsy which confirmed our diagnosis as vascular hamartomatous lesion. Patient is on follow-up for last one year with last 1 year with acceptable cosmesis and preserved normal vision. Conclusion: Cavernous hemangioma is the most common benign non-infiltrative neoplasm of the orbit having an intraconal and lateral location. Similar pathology of eyelids are rare to be searched in English literature but should be considered as a differential in case of isolated eyelid lesions.

Keywords: benign tumor, lid mass, adnexal lesions, vascular malformation, capillary hemangioma.

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