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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 12  |  Page : 2061

Cavernous hemangioma of the conjunctiva


1 Department of Orbit, Oculoplasty, Reconstructive and Aesthetics, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Department of Cornea, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Web Publication22-Nov-2019

Correspondence Address:
Dr. Bipasha Mukherjee
Sankara Nethralaya, Medical Research Foundation, 18, College Road, Chennai, Tamil Nadu - 600 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1783_18

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How to cite this article:
Mukherjee B, Moosa S, Rajagopal R. Cavernous hemangioma of the conjunctiva. Indian J Ophthalmol 2019;67:2061

How to cite this URL:
Mukherjee B, Moosa S, Rajagopal R. Cavernous hemangioma of the conjunctiva. Indian J Ophthalmol [serial online] 2019 [cited 2019 Dec 16];67:2061. Available from: http://www.ijo.in/text.asp?2019/67/12/2061/271366



An 18-year-old young male presented with a reddish lesion in his left eye since birth. On examination, tortuous vascular lesions on the temporal and inferior bulbar conjunctiva were seen [Figure 1]a. Rest of the ocular and systemic examination was within normal limits. The patient underwent excision of the lesion. Scleral thinning was noted underneath the lesion. Histopathological examination was consistent with the diagnosis of cavernous hemangioma of the conjunctiva [Figure 1]b. Postoperative period was uneventful [Figure 1]c.
Figure 1: (a) Clinical photograph of left eye of the patient showing tortuous elevated dark-red vascular lesions on the temporal conjunctiva measuring 10 × 8 × 2 mm in size and another lesion in the inferior bulbar conjunctiva measuring 2 × 4 × 1 mm. (b) Microphotograph showing conjunctival stroma with multiple large vascular spaces filled with blood. (Hematoxylin and eosin stain; 40×). (c) Postoperative appearance of the left eye

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Cavernous hemangiomas of the conjunctiva have rarely been reported in the literature.[1],[2],[3],[4] The other common vascular tumors of the conjunctiva in the pediatric age group are capillary hemangioma, lymphangioma, and pyogenic granuloma.[5] Complete resolution has been noted after topical timolol therapy.[6] We excised the lesion because of cosmetic concerns.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Yazici B, Ucan G, Adim SB. Cavernous hemangioma of the conjunctiva: Case report. Ophthal Plast Reconstr Surg 2011;27:e27-8.  Back to cited text no. 1
    
2.
Rizvi S, Yousuf S, Maheshwari V, Khan R. Multiple cavernous haemangiomas of the the orbit and conjunctiva: A rare association. J Surg Case Rep 2012; 2:8.  Back to cited text no. 2
    
3.
Kiratli H, Uzun S, Tarlan B, Tanas Ö. Recurrent subconjunctival hemorrhage due to cavernous hemangioma of the conjunctiva. Can J Ophthalmol 2012;47:318-20.  Back to cited text no. 3
    
4.
Rao MR, Patankar VL, Reddy V. Cavernous haemangioma of conjunctiva (a case report). Indian J Ophthalmol 1989;37:37-8.  Back to cited text no. 4
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5.
Shields CL, Demirci H, Karatza E, Shields JA. Clinical survey of 1643 melanocytic and nonmelanocytic conjunctival tumors. Ophthalmology 2004;111:1747-54.  Back to cited text no. 5
    
6.
Lubahn JG, Lee RK, Karp CL. Resolution of conjunctival sessile hemangioma with topical timolol. Cornea 2014;33:99-100.  Back to cited text no. 6
    


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