A 19-year-old woman developed protrusion and painful burning and throbbing of her right eye in February 2005. Initial biopsy revealed an orbital glomus cell tumor. Visual acuity was 20/30 OU. Pupillary, biomicroscopic, funduscopic, tonometric, and periocular sensory examination results were normal with no identifiable bulbar cause for the pain. There was 3.5 mm of right proptosis (Figure 1A and B) with limited abduction and supraduction. Despite treatment with combinations of clonazepam, nortriptyline hydrochloride, gabapentin, and pregabalin and unchanged results on serial clinical examinations and magnetic resonance imaging, the patient requested tumor removal 24 months after the initial visit owing to nonparoxysmal, intractable pain that limited her daily activities.