Painful Mono-Ocular Vision Loss by Apical Orbital Cavernous Hemangioma-A Rare Cause

We present a 41-year-old male with features of painful optic neuropathy in the form of side-locked headache and ipsilateral marked diminution of vision due to an apically located cavernous hemangioma. The lesion was excised and was found to be a Cavernous hemangioma on histopathology. The patient had improvement in vision post-operatively. Orbital cavernous hemangioma is one of the common benign intraconal orbital tumors, it usually presents with proptosis and its location at orbital apex is very rare. The present case describes a rare location of orbital hemangioma and the need to include the entity in the list of differential diagnoses for lesions presenting with optic neuropathy. Besides, the case reiterates the typical imaging features of orbital hemangioma.