Description

We report a case of a 23-year-old man who presented with a 1-month history of gradually worsening right eye pressure, blurry vision and proptosis, which was not exacerbated with Valsalva or change in position.

MRI of the orbits demonstrated a well-defined, lobulated, cystic, trans-spatial mass with areas of internal haemorrhage (figure 1) and fluid–fluid levels (figure 2) in the superior medial right orbit, which extended posteriorly through the superior orbital fissure to the cavernous sinus (figure 3). The lesion slightly expanded the orbital …