The name venous hemangioma is rarely seen in monographs on orbital diseases. Because its basic pathological histological component is a mass of veins with varying thickness of the wall, it is often confused with venous malformations (such as varicose veins). In addition, because there are many highly dilated thin-walled blood vessels in the tumor, it is diagnosed as a cavernous hemangioma by pathologists. Venous hemangioma is more common in Chinese people. The World Health Organization (WHO) tumor classification includes venous hemangioma and calls it a benign lesion composed of irregular medium to large blood vessels, mainly venous blood vessels, which may be accompanied by scattered smooth muscle fibers and adipose tissue. Intraorbital venous hemangioma has its own characteristics, which are different from those occurring in other parts. The vein diameter is smaller and there are more fibrous tissues, but the basic pathological histological changes should belong to this category. This type of tumor was also named as racemose hemangioma. Although racemose hemangioma can be divided into arterial, venous, and arterial and venous, it generally means that arteries and veins coexist and have direct communication. Pathological examination showed that the tumor lacked a capsule and had abundant small veins in a large amount of fibrous tissue, and was sometimes diagnosed as angiofibroma.