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Only three cases of pleomorphic adenomas (PAs) of ectopic lacrimal gland mass in deep orbital location have been reported in the literature. This report describes a case of PA of the ectopic lacrimal gland situated deep in the orbit leading to proptosis, which was managed successfully by supraorbital orbitotomy via eyebrow incision. A 60-year-old female presented with complaints of gradually progressive, painless proptosis of the right eye. Imaging revealed a well-defined circumscribed mass lesion in the right orbit located predominantly in the postero-superior aspect of the globe. The patient underwent complete excision through supraorbital orbitotomy approach, using eyebrow incision. There was no clinical evidence of recurrence at eight months follow up. In orbit, PAs of the ectopic lacrimal gland are extremely rare, and the success of the treatment depends on the removal of the tumor with its capsule.

Orbital blow-in fractures encompass a distinctive clinical entity that is characterized by displacement of fracture fragments into the orbital cavity with a consequent diminution in orbital volume. We report a case of a 30-year-old male who presented with outward protrusion of the left eye ball following trauma by bike handle. While fracture of the orbital roof has been documented as a common cause of blow-in fracture, in our case, a fracture of the lateral wall and floor of the orbit led to blow-in fracture. Repositioning of luxated globe was done even in the absence of visual prognosis in view of psychological benefit and prosthetic rehabilitation.

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