Cavernous hemangioma of the optic nerve head: Ophthalmoscopical and echographical findings

Background Cavernous hemangiomas of the optic nerve head are rare, but their clinical features are typical. Further examinations, like fluorescein angiography and echography are necessary for a diagnostic work up. Methods In June 1994 we observed a case of a cavernous hemangioma of the optic nerve head. Ophthalmological, fluoresceinangiographical and echographical examinations were done. Results A 17-year-old woman is presented. The tumor was unilateral, only involving the optic nerve head. During a follow up period of 18 months the tumor remained unchanged. Conclusion In this patient, as in others before, ophthalmoscopical findings are characteristic for a cavernous hemangioma. Fluorescein angiography and especially the standardized echography establish the diagnosis and are helpful for accurate follow up examinations. Usually treatment of cavernous hemangiomas is unnecessary, they remain stable and usually do not cause complications. When vitreous hemorrhage occurs, vitrectomy may be indicated.