Background: Cavernous hemangioma of the retina and optic disc is a rar
e lesion that was first defined as a distinct entity by Gass in 1971.
It is usually easily recognized by its characteristic appearance of sa
ccular ''grape-like'' lesions. On fluorescein angiography, plasma-eryt
hrocyte separation is seen. Methods: Two patients with cavernous heman
gioma of the optic nerve were examined over a period of 5 to 10 years.
Results: Although these tumors are usually considered to be static an
d not capable of growth, these two cases of cavernous hemangioma of th
e optic nerve showed documented growth. One case required vitrectomy f
or vitreous hemorrhage.Conclusion: Cavernous hemangioma of the optic d
isc can grow and can cause vitreous hemorrhage severe enough to requir
e vitrectomy.