The authors examined the clinicopathologic features of a 4-year-old bo
y with a diffuse choroidal hemangioma, yet without any features of the
Sturge-Weber syndrome. The tumor occurred as a grayish intraocular ma
ss with an overlying retinal detachment and was highly reflective in t
he ultrasonic examination. After contrast, the CT scan revealed diffus
e thickening of the ocular wall associated with an enhanced irregular
orbital mass. The pathologic examination revealed a cavernous hemangio
ma involving the entire choroid with extrascleral extension, Diffuse c
horoidal hemangioma occurring in childhood and unrelated to the Sturge
-Weber syndrome is a rare condition that should be included in the dif
ferential diagnosis of retinoblastoma.