Families of children often inquire about the choice of treatment measures for orbital masses, such as cysts and hemangiomas, found in their children, because of their young age and the risk of surgery. The choice of treatment for orbital diseases in children needs to be based on the following principles. 1. Surgical treatment can be deferred for more stable and slowly developing conditions. Some orbital swellings in children, such as itchy cysts and conjunctival swellings, can be considered for temporary observation because of slow growth and no obvious functional effects or organic damage to the patient, but it is important to pay attention to follow-up and keep track of changes in the condition. It should be noted, however, that this type of disease is not absolutely contraindicated in pediatric patients, and surgery can be considered if there are no problems with anesthesia in the hospital. Zhao Liang, Ophthalmologist, Tianjin First Central Hospital 2. For some swellings that obviously affect the appearance, although benign, if they are not treated early, they will affect the future treatment effect and need to take active treatment measures. For some tumors, such as infantile hemangioma (capillary hemangioma), skin pigmentation nevus, split nevus, etc., which tend to increase with age and may affect the treatment effect, active treatment measures, such as glucocorticoid treatment or surgical removal, are needed. 3. For some swellings that grow rapidly and cause obvious protrusion of the eye, active surgical treatment is required. Some tumors such as rhabdomyosarcoma, where the masses grow rapidly, are likely to be malignant in children and require aggressive surgical treatment. In general, children with orbital swelling need to be treated as actively as conditions allow so that the best time for treatment can be seized.