Although an extremely rare neoplasm, orbital mesenchymal chondrosarcoma has
a characteristic radiologic appearance. Suspicion of this lesion preoperat
ively can be of great value to the ophthalmologist because it tends to prod
uce profuse bleeding at biopsy. This article reviews the clinical presentat
ion, pathologic features, and radiologic findings of patients with orbital
mesenchymal chondrosarcoma.