AIM: To discuss the feasibility of transconjunctival surgical removal of intraorbital cavernous hemangioma.

METHODS: We recruited 53 patients with intraorbital cavernous hemangioma, the largest diameter was 4.2cm, and the smallest diameter was 0.8cm. After general anesthesia, the outer canthus should be incised, and the 1/3-1/2 circle of conjunctiva 7 to 8mm should be scissored after corneal margin to expose the tumor. The tumor should be bluntly separated along its surface. After completely separating the tumor and surrounding tissues, the front area of tumor should be clamped and pulled out. If the tumor is too large to be pulled out from the cut, it can be punctured to press out some blood so that it can be smaller to be pulled out.

RESULTS:Intraorbital cavernous hemangiomas of the 53 patients were all excised completely with no obvious scar formed and satisfied appearance.

CONCLUSION: The method of transconjunctival surgical removal of intraorbital cavernous hemangioma has the following merits: unnecessary opening the lateral wall of orbit, short duration of operation procedure, small injury and low cost. Incision is just outside the outer canthus angle and conjunctiva and there is no obvious scar formed after operation. This method is worth being recommended because of the perfect appearance.