Objective To investigate the relation between pathology and imaging findings in the orbital intracone lesions.Methods The clinical materials and sample slices of 52 patients with intracone lesions were collected,and retrospectively analyzed the pathological types and imaging findings.Results Fifty-two cases of the orbital intracone benign lesions,mainly vasogenic lesions (37 cases),including cavemous hemangioma of the total proportion of about 48.1％ (25 cases).In the CT-scan,the round space-occupying lesions,a clear boundary,uniform middle density,marked enhancement,dynamic scan showed progressive enhancement.CDFI showed no flow signal; in the 8 cases neurogenic lesions,nerve sheath tumors accounted for a larger proportion of about 9.6％ (5 cases),CT more performance for the round or ovalplaceholder shaped shadow,clear boundary,homogeneous or inhomogeneous density,the CT values between the 35-50HU,even visible characteristic "tail"-like shadow,CDFI showed rich blood flow signal and low-speed low resistance blood flowspectrum.In addition,the inflammatory lesions,cystic lesions and lymphoproliferative lesions might also occur in the orbital intracone.Conclusion The majority of orbital intracone lesions are benign,and vasogenic lesions have a large proportion.Therefore,the imaging techniques including CT,B ultrasound,and Color doppler ultrasound,have the significant value in the diagnosis or prognosis of lacrimal sac lesions.