A 60 year old female patient presented with complaints of slowly progressive, painless defective vision with prominence of left eye of 6 months duration. Visual acuity was 6/12 in right eye and 6/60 in left eye. On ocular examination, axial proptosis of 5mm was noted in left eye with cataract in both eyes. Extraocular movements were full. Fundus examination showed choroidal folds in posterior pole in LE. On MRI a well-defined intraconal mass of 25mm X 20mm X 18mm size, abutting posterior pole of LE, compressing and displacing optic nerve medially was seen. The mass gave globe behind the globe appearance. Lateral orbitotomy was performed under general anesthesia. A large intraconal mass was removed intoto through a Berke-Reese incision after removing lateral orbital bone and by retracting the lateral rectus. Histopathological examination revealed cavernous hemangioma. Patient recovered well in post-operative period with good vision.
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