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March 1992

Traumatic Intraconal Hematic Cyst of the Orbit

Author Affiliations

From the Department of Ophthalmology, Penn State University College of Medicine, Hershey, Pa.

Arch Ophthalmol. 1992;110(3):378-380. doi:10.1001/archopht.1992.01080150076032

• A 35-year-old man with a history of repeated previous facial injuries presented with acute onset of a right orbital mass less than 2 weeks after blunt trauma to the right eye. Orbital B-scan ultrasonography and computed tomography showed an intraconal cystic lesion. The tumor was excised via lateral orbitotomy. Pathologic evaluation demonstrated a hematic cyst containing fresh blood. The presence of hemosiderin in the cyst wall suggested recent bleeding in a preexisting orbital hemorrhagic lesion. Patients with hematic cysts of the orbit usually present with a subperiosteal mass months to years after trauma.