The purpose of this study was to review an interesting case of recurrent or
bital sinus histiocytosis. The patient initially failed surgery, chemothera
py, and steroid therapy, only to have a durable response to low-dose radiat
ion therapy of the orbits, lasting 6 and 11 years, respectively. Because th
ere are few documented responses to radiotherapy, we present a case report
in conjunction with the clinical, radiographic, and histopathologic informa
tion as well as a literature review of similar cases.