Indian Journal of Ophthalmology

: 1989  |  Volume : 37  |  Issue : 1  |  Page : 37--38

Cavernous haemangioma of conjunctiva (a case report)

Manthalkar R Rao, VL Patankar, Vishwanath Reddy 
 Dept. of Ophthalmology, MR. Medical College, Gulbarga - 585 105, India

Correspondence Address:
Manthalkar R Rao
Dept. of Ophthalmology, MR. Medical College, Gulbarga - 585 105


A rare case of Cavernous Haemangioma of the conjunctiva which was treated successfully by surgery is reported.

How to cite this article:
Rao MR, Patankar V L, Reddy V. Cavernous haemangioma of conjunctiva (a case report).Indian J Ophthalmol 1989;37:37-38

How to cite this URL:
Rao MR, Patankar V L, Reddy V. Cavernous haemangioma of conjunctiva (a case report). Indian J Ophthalmol [serial online] 1989 [cited 2020 Oct 20 ];37:37-38
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A haemangioma is a developmental malformation of blood vessels, rather than a true tumour and is an example of a Hamartoma [1].It may be capillary, venous (cavernous)or arterial. Its incidence is reported as 1-2% of all benign growths of the conjunctiva [2],[3]. A higher percentage of upto 19.6% is re­ported by Zaidik and others in the younger age group [4].Cavernous haemangioma is present at birth, consists of multi­plicity of venous channels of varying calibre, shows no ten­dency to involution and may become larger and trouble-some by bleeding after remaining stationary for years. It is rela­tively uncommon, more so in the conjunctiva. Because of this rarity an interesting clinical report of this condition is reported.


A female Hindu patient K.L. 18 years of age was admitted on 16.5.1988 with a complaint of a swelling over the right eye, which was increasing in size for the previous one year though it had been noted earlier in her childhood. Except for the cosmetic appearance she had no other symptoms.

On examination, the swelling was smooth, lobulated, oval, dark brown in colour of 10mm x 8mm x 5mm size situated over the bulbar conjunctive on the inner side reaching upto the canthus. Its outer border was 6mm away from the corneal margin and the upper and lower margins were extend­ing upto the fornices. It was soft, vascular, compressible and freely moving over the sclera. The right eye was otherwise normal with no abnormality in the left eye. Systematic examination was normal.

Routine blood and urine examinations were normal. Roentgenograms of the orbits and skull were normal.

A clinical diagnosis of cavernous haemangioma was made and the growth was excised on 17.5.88 under local anaesthe­sia [5]. Cryo was applied to the base and periphery of the tumour to minimise bleeding during surgery. The post operative period was uneventful. The specimen was sent for histopa­thological examination and a diagnosis of Cavernous Hae­mangiorna of conjunctiva was established [6]. Since then the patient has been followed up with no recurrence so far and her cosmetic appearance is normal.


Conjunctival cavernous haemangioma is a rarity. It arises often from the conjunctival vessels and rarely from the scleral, muscular or orbital vessels. It is asymptomatic and stationary for many years. It gives poor cosmetic appearance and bleeds sometimes giving rise to bloody tears. The tumour is radiosen­sitive but can be treated well by excision [5].

The present case of cavernous haemangioma of the bulbar conjunctiva of the right eye was asymptomatic except for the cosmetic factor. Total excision was possible and histopathol­ogical examination confirmed the diagnosis. There was no recurrence on follow up.


1Biley & Love's Short practice of Surgery E.L.B.S.18th Edition P 118, 1983.
2Nom, M.S. , Acta Opthalmol kbh, 37-172, 1959.
3Maria DL & Shukla SP, J. All India Opathalmol Soc. 131-68, 1965.
4Zaidik, Nath and Gogi. R. Ind. J. Ophthalmol 28 (4), 172, 1981.
5Duke Elder, System of Ophalmalogy, Vol. VIII part 2 Henry Kimp­tom (Reprint).P. 1199-1202, 1977.
6Robbins, Cotran, Kumar, Pathological basis of disease W.B. Saun­ders Co. Philladelphia. P.540, 1984.