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Bezmialem Vakıf Üniversitesi, Tıp Fakültesi Hastanesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye Intraorbital hematomas are rare entities. They are often associated with orbital trauma, surgery of orbital environment, blood diseases such as hemophilia, and neoplasms. In literature, development of a phenomenon of a spontaneous orbital hematoma without a reason, consists of a few cases. We present one case of spontaneous intraorbital hematoma in a patient without a reason. We report a 54-year-old woman who was admitted to our clinic with the complaints of her left eye clouding and decreasing of vision, watering and swelling in a few months. Cranial and orbital MRI revealed a haemorrhagic mass in the localization of retrobulbar – intrakonal of left eye. After radiological assessment, haemorrhagic mass was removed by left frontoparietal craniotomy. Her visual complaints and exophtalmus were improved in the early postoperative period. Trauma, neoplasm, blood disease and vascular anomalies belonging to an evidence were not found. Surgical decompression should be considered primarily in rare spontaneus intraorbital hematoma. Anahtar Kelimeler : Hematoma, Intraorbital hematoma, Blood cyst, Spontaneous