Dual Therapy in A Refractory Case of Cavernous Haemangioma of The Orbit

Abstract

Introduction:
Cavernous haemangiomas are common benign
orbital tumours. We report a case where combined treatment
using intralesional sclerosants followed by argon laser excision
of the tumour was done.
Case report:
A 19
-
year
-
old girl presented with a swelling of the
right upper lid of 9 years duration causing mechanical ptosis. It
was reducible, fluctuant and non
-
pulsatile. Skin over the swelling
was pinchable with no engorged veins. CT scan showed a
cir
cumscribed no enhancing lesion in the anterolateral part of
orbital cavity extending to the extraconal compartment
suggestive of cavernous haemangioma. Sodium Tetradecyl
sulphate was given intralesional under ultrasound guidance over
1 year. Residual mass
was excised surgically using diode laser.
Histopathology favoured cavernous haemangioma.
Conclusion:
The dual therapy in the treatment of orbital
haemangioma involving the upper lid is beneficial
therapeutically
and cosmetically due to acceptable aestheti
c and functional
outcomes.