Indian Journal of Ophthalmology

: 1968  |  Volume : 16  |  Issue : 2  |  Page : 103--104

Haemangioma of the caruncle of the eye

S Hafeez Ahmad1, MA Hafeez2,  
1 Department of Ophthalmology, Hamidia Hospital, Bhopal, India
2 Department of Pathology, Gandhi Medical College, Bhopal, India

Correspondence Address:
S Hafeez Ahmad
Department of Ophthalmology, Hamidia Hospital, Bhopal

How to cite this article:
Ahmad S H, Hafeez M A. Haemangioma of the caruncle of the eye.Indian J Ophthalmol 1968;16:103-104

How to cite this URL:
Ahmad S H, Hafeez M A. Haemangioma of the caruncle of the eye. Indian J Ophthalmol [serial online] 1968 [cited 2020 Jul 6 ];16:103-104
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Full Text

The caruncle is developmentally a part of the lower lid cut off by the growth of the lower canaliculus. Tu­mours affecting it are therefore more like those of the lid than of the con­junctiva. Though the Tumours of the caruncle are relatively rare, they have excited considerable attention. GALEN noted them and named them as encanthus, and the first modern critical paper came from von. GRAEFE (1904). Subsequent studies and bibliographies are those of PAR­SON (1904), Lagrange (1906), BEAUREUX (1913) and MORAX (1926). SERA (1928), collected 136 cases from literature, while EVAN (1940) gave an analysis of 200 cases. VAIL (1933), reported mixed (Tera­toid) tumour and WETZEL (1937), the malignant melanomata.

The following are the approxi­mately relative proportions in which more common growth at caruncle occur:­ [Table 1]

It must be remembered that the caruncle may be the seat of any tu­mour that occurs in the conjunctiva as well as any tumour that appears adjacent to the skin of the eye lid, because although its surface epithe­lium is mucous membrane, it har­bours all the skin elements, including hair follicles, sebaceous glands and sweat glands. The commonest tu­mour encountered is the papilloma and the commonest type is the mela­uotic growth of which almost as many are malignant melonomata as simple nevi but we report a case of capillary haemangioma of caruncle, which is very rare.

Case report :­

Zarena Bai, a female, aged 20 years attended the eye out patient Depart­ment of the Hamidia Hospital, Bho­pal with the complaint that she had developed a small growth in her eye, gradually increasing since last four months.

Physical findings :­

A spherical, pedunculated growth 1 cm. in diameter red in colour and soft in consistency, was situated at the caruncle of the left eye.

The whole of the growth was ex­cised under local anresthesia.

Macroscopic study:­

The specimen consisted of 1 cm. diameter oval nodule, smooth exter­nally and soft to touch. Cut surface presented a somewhat fleshy appear­ance.


Microscopically, large number of thin walled blood vessels occupied the major portion of the section. The stroma consisted of loose connective tissue infiltrated by a few mononuc­lear cells [Figure 1].

Coments :­

The case is presented in view of its rarity occuring at caruncle of the eye.


An unusual case of 'Heamangioma of the caruncle of the eye', where diagnosis was established by biopsy of the growth, is reported.[3]


1DUKEELDER, S. - Textbook of Ophthalmology, Vol. V, Page 5198, (1955). The Occular adnexa, London. Henry Kimpton.
2REESE, A. B. - Tumours of the Eye. Paul. B. Hoeber, Inc., 1953.
3WOLFF, E. - The Anatomy of the Eye and the Orbit. 4th Ed. H. K. Lewis & Co., Ltd. London. - Pages 154, 191.