Case Reports other manifestations of blue rubber bleb nevus syndrome, leading to his delayed diagnosis. FIG. 2. External clinical photographs from age 6 months to 66 months. A, 6 months of age with the orbital mass causing near complete ptosis of the right upper eyelid. B, 30 months with right ptosis, exotropia, and proptosis despite 1 orbital resection. C, 50 months with an enlarging orbital mass after 2 resections and 1 prior embolization. D, 66 months with continued growth inferomedially after 3 prior resections and 2 prior embolizations.