Orbital Cavernous Hemangioma Follow-up

Updated: Aug 14, 2017
  • Author: Adam J Cohen, MD; Chief Editor: Hampton Roy, Sr, MD  more...
  • Print
Follow-up

Further Outpatient Care

Most patients with cavernous hemangiomas can be observed clinically with semiannual or annual formal visual field testing and dilated funduscopic examinations.

Next:

Complications

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.

Previous
Next:

Prognosis

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.

Previous
Next:

Patient Education

Patients should have a clear understanding of the immediate need for follow-up care if a visual disturbance occurs or if proptosis increases significantly.

Previous