Cavernous Hemangioma Follow-up
- Author: Adam J Cohen, MD; Chief Editor: Hampton Roy, Sr, MD more...
Further Outpatient Care
Most patients with cavernous hemangiomas can be observed clinically with semiannual or annual formal visual field testing and dilated funduscopic examinations.
Complications are related to the angiomas mass effect within the orbit. Axial proptosis, extraocular muscle dysfunction, and compressive optic neuropathy are the sequelae that can transpire secondary to enlarging cavernous hemangiomas.
Most cavernous hemangiomas remain stable throughout a patient's life and cause no visual compromise.
If surgical intervention is warranted, most lesions excised in the hands of an experienced surgeon have an excellent prognosis and result in a low morbidity. There is no recurrence following excision or risk of malignant transformation.
Patients should have a clear understanding of the immediate need for follow-up care if a visual disturbance occurs or if proptosis increases significantly.
Henderson GW. Vascular hamartomas, hyperplasias, and neoplasms. Henderson GW, ed. Orbital Tumors. New York: Raven Press; 1994. 94-100.
Harris GJ, Jakobiec FA. Cavernous hemangioma of the orbit: a clinicopathologic analysis of sixty-six cases. Jakobiec, ed. Ocular and Adnexal Tumors. Birmingham, Ala: 1978. 741-81.
Zauberman H, Feinsod M. Orbital hemangioma growth during pregnancy. Acta Ophthalmol (Copenh). 1970. 48(5):929-33. [Medline].
Ko F, Dibernardo CW, Oak J, Miller NR, Subramanian PS. Confirmation of and differentiation among primary vascular lesions using ultrasonography. Ophthal Plast Reconstr Surg. 2011 Nov. 27(6):431-5. [Medline].
Boari N, Gagliardi F, Castellazzi P, Mortini P. Surgical treatment of orbital cavernomas: clinical and functional outcome in a series of 20 patients. Acta Neurochir (Wien). 2011 Mar. 153(3):491-8. [Medline].
Liu X, Xu D, Zhang Y, Liu D, Song G. Gamma Knife surgery in patients harboring orbital cavernous hemangiomas that were diagnosed on the basis of imaging findings. J Neurosurg. 2010 Dec. 113 Suppl:39-43. [Medline].
Dortzbach RK, Kronish JW. Orbital disease. Dortzbach RK, ed. Ophthalmic Plastic Surgery Prevention and Management of Complications. New York: Raven Press; 1994. 312-25.
Harris GJ, Jakobiec FA. Cavernous hemangioma of the orbit. J Neurosurg. 1979 Aug. 51(2):219-28. [Medline].
Mercandetti M, Cohen AJ. Exophthalmos. Medscape Reference [serial online]. February 7, 2007. [Full Text].
Mercandetti M, Cohen AJ. Tumors, orbital. Medscape Reference [serial online]. February 7, 2007. [Full Text].
Rodgers IR, Grove AS. Vascular lesions of the orbit. Principles and Practice of Ophthalmology. Philadelphia: WB Saunders; 1994. 1970-1.
Shields JA, Shields CL. Vascular and hemorrhagic lesions. Atlas of Orbital Tumors. Philadelphia: Lippincott, Williams and Wilkins; 1999. 50-56.
Yan J, Wu Z. Cavernous hemangioma of the orbit: analysis of 214 cases. Orbit. 2004 Mar. 23(1):33-40. [Medline].