“…At present, this approach holds primary indications in orbital and optic canal decompression, as well as for managing medial orbital wall fractures and addressing medial extraconal/intraconal orbital apex lesions, including orbital cavernous hemangiomas. 6 The concept of transorbital neuroendoscopic surgery, 7 introduced in 2010, has established 2 distinct objectives for endoscopic approaches to the orbit: addressing intraorbital pathology and creating minimally disruptive key hole passages to access intracranial compartments. Although still relatively novel with a limited number of global cases, it is essential to acknowledge that this innovative technique carries potential risks, albeit small, such as optic nerve damage and blindness, stemming from manipulation or vasospasm.…”