Unusual Subcutaneous Presentation of Cavernous Hemangioma in the Lower Eyelid: A complete translation from Farsi


This article is based on a study first reported in Farsi in the Bina Journal of Ophthalmology, titled معرفی یک مورد همانژیوم کاورنوس پلک تحتانی, Volume 23, Issue 2 (Winter 2018) 2018/10/23. Original URL: https://binajournal.org/article-1-936-fa.pdf

Purpose: To report a patient with cavernous hemangioma (CH) presenting as a “subcutaneous” lower eyelid mass.

Case report: A 37-year-old man presented with a painless and palpable mass over the right lower eyelid for two years prior to referral. Computed tomography scan revealed a well-defined, lobulated mass located in the mid and lateral portion of the lower eyelid that extended posteriorly to the anterior orbital space. A transcutaneous excisional biopsy was performed. Histopathologic findings of the tumor confirmed CH. Most CHs are intraconal lesions, making our case an unusual presentation for this condition.

Conclusion: CH may present superficially in the eyelid and anterior orbital area and thus, although this location is not common, it should be kept in mind as a differential diagnosis for any well-defined eyelid tumor.


Cavernous Hemangioma, Eyelid Mass, Lower Lid Mass

1. Rootman DB, Heran MK, Rootman J, White VA, Luemsamran P, Yucel YH. Cavernous venous malformations of the orbit (so-called cavernous haemangioma): a comprehensive evaluation of their clinical, imaging and histologic nature. Br J Ophthalmol 2014;98:880–888.

2. Ansari SA, Mafee MF. Orbital cavernous hemangioma: role of imaging. Neuroimaging Clin N Am 2005;15:137–158.

3. Calandriello L, Grimaldi G, Petrone G, Rigante M, Petroni S, Riso M. Cavernous venous malformation (cavernous hemangioma) of the orbit: current concepts and a review of the literature. Surv Ophthalmol 2017;62:393–403.

4. Hornblass A, Sabates WI. Eyelid and orbital cavernous hemangioma associated with keratoconus. Am J Ophthalmol 1980;89:396–400.

5. Anand R, Deria K, Sharma P, Narula M, Garg R. Extraconal cavernous hemangioma of orbit: a case report. Indian J Radiol Imaging 2008;18:310.

6. Alibaba OT, Idowu OO, Olowoyeye AO, Amusan OO. Ocular adnexa carvenous hemagioma: case report. Adv Ophthalmol Vis Syst 2017;7:00244.

7. D’hermies F, Cherif N, Hurbli T, Berges O, Koscas P, Meyer A, et al. Unusual preseptal location of an orbital cavernous hemangioma in African patient. J Fr Ophtalmol 2000;23:631–634.

8. Yan J, Li Y. Unusual presentation of an orbital cavernous hemangioma. J Craniofac Surg 2014;25:e348–e349.

9. Rootman J, Heran MK, Graeb DA. Vascular malformations of the orbit: classification and the role of imaging in diagnosis and treatment strategies. Ophthalmic Plast Reconstr Surg 2014;30:91–104.

10. McNab AA, Tan JS, Xie J, Selva D, Hardy TG, Starte J, et al. The natural history of orbital cavernous hemangiomas. Ophthalmic Plast Reconstr Surg 2015;31:89–93.

11. McNab AA, Selva D, Hardy TG, O’Donnell B. The anatomical location and laterality of orbital cavernous haemangiomas. Orbit 2014;33:359–362.

12. Rootman DB, Rootman J, White VA. Comparative histology of orbital, hepatic and subcutaneous cavernous venous malformations. Br J Ophthalmol 2015;99:138–140.

13. Yan J, Wu Z. Cavernous hemangioma of the orbit: analysis of 214 cases. Orbit 2004;23:33–40.

14. Aymard PA, Langlois B, Putterman M, Jacomet PV, Morax S, Galatoire O. Management of orbital cavernous hemangioma evaluation of surgical approaches: report of 43 cases. J Fr Ophtalmol 2013;36:820–829.