Primary hepatocellular carcinoma rarely metastasizes to the orbit. We
report a 19-year-old black man from Zimbabwe who had hepatomegaly and
an orbital mass. An orbital biopsy suggested a diagnosis of hepatocell
ular carcinoma. Immunohistochemical stains supported the diagnosis. To
our knowledge, this is only the second reported case of hepatocellula
r carcinoma metastasizing to the orbit and the first such reported cas
e from Africa.