A Case of Conjunctival Hemorrhagic Lymphangiectasia.
10.3341/jkos.2012.53.9.1330
- Author:
Dong Hyun WANG
1
;
Jin Kwon CHUNG
;
Kyung Seek CHOI
Author Information
1. Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea. schcornea@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Conjunctiva;
Hemorrhage;
Hemorrhagic lymphangiectasia;
Lymphatic vessel
- MeSH:
Biopsy;
Conjunctiva;
Dilatation;
Diplopia;
Eye;
Follow-Up Studies;
Hemorrhage;
Humans;
Hyperemia;
Lymphatic Vessels;
Recurrence;
Retinal Vasculitis;
Uveitis;
Young Adult
- From:Journal of the Korean Ophthalmological Society
2012;53(9):1330-1333
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of hemorrhagic lymphangiectasia treated with surgical excision and confirmed by pathologic examination. CASE SUMMARY: A 21-year-old man presented with spontaneous hyperemia of his right eye of 1 week duration. The patient had a history of tuberculous retinal vasculitis and uveitis 1 year prior, but there was no active lesion during regular follow-up. There was no history of trauma, visual disturbance, diplopia, ocular pain, or any sign of systemic disease. Slit lamp examination showed tortuous dilatation of blood-filled lymphatic vessels on temporal conjunctiva of the right eye. The lesion did not change during the 4 weeks of follow-up and local excision biopsy was made for final diagnosis and treatment. Pathologic examinations revealed thin-walled lymphatic vessels with localized dilatation which contained blood in the lumen consistent with hemorrhagic lymphangiectasia. There was no sign of recurrence until 2 months after the operation. CONCLUSIONS: Hemorrhagic lymphangiectasia should be considered in patients with recurrent or longstanding localized tortuous subconjunctival hemorrhage.
