|Year : 1975 | Volume
| Issue : 4 | Page : 40-41
Intermarginal strip lymphangioma
KG Tehra, SN Joshi, Mala Kamble
Department of Ophthalmology, Govt. Medical College, Nagpur, India
K G Tehra
Department of Ophthalmology, Govt. Medical College, Nagpur
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Tehra K G, Joshi S N, Kamble M. Intermarginal strip lymphangioma. Indian J Ophthalmol 1975;23:40-1
Lymphangiomas associated with the ocular adnexa are very rare. They are congenital, benign and slowly progressive. History is characterised by slow but steady increase in size during childhood and adolescence.
Clinically a conjunctival lymphangioma appears as a multilobular mass with a semitransparent wall and congestation of the surrounding conjunctiva. The tumour is localised most commonly on the bulbar conjunctiva sometimes at the limbus and frequently at the inner canthus associated particularly with the plica. Similar angiomatous formations may be there on the face, the palate or buccal mucosa.
Histologically they show characteristic endothelial lined spaces of variable size filled with lymphocytes and without any true capsule.
| Case Report|| |
A nine years old female attended ophthalmic out patient department with a swelling over the right upper lid margin since three months. The swelling was noticed when it was small. It has increased steadily to the present size. There were no other complaints.
On examination a dark red pedunculated mass was noticed arising from the centre of the intermarginal strip of the right upper lid. It was roughly circular with a diameter of 14mm. and thickness 8mm. The surface was lobulated. It was non-tender, soft and reducible to some extent. There were some tortuous visible veins over the skin of the lid close to the mass. Provisionally it was labelled as a haemangioma or a pedunculated chronic granuloma.
There was no difficulty in excision of the mass. Bleeding was moderate. On histopathological examination it had turned out to be a lymphangioma.
| Discussion|| |
Lymphangiomata in the region of eye are very rare. Very few cases have been reported and in most of the cases the tumour was seen in the bulbar conjunctiva at the limbus or at the inner canthus associated with the plica. In this case the site is unusual and the diagnosis could not be made before histopathological report.
| Summary|| |
An unusual case of lymphangioma arising from intermarginal strip of the right upper lid is reported.
| References|| |
Duke-Elder System of Ophthalomology Vol. 1965.
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Jones, I S. 1959. Trans. Amer. Oph. Sec. 57,
Mortada, 1962. Bit. J. Oph. 46, 45.
Rees A.B., 1963.
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Swan, K.C., Eramens, T.H., and Christensen, L., 1947, Jour. Am. Acad. Ophth. 52, 458.
[Figure - 1], [Figure - 2]