A Case of Conjunctival Hemorrhagic Lymphangiectasia.

Wang, Dong Hyun; Chung, Jin Kwon; Choi, Kyung Seek

doi:2012.53.9.1330

J Korean Ophthalmol Soc > Volume 53(9); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(9):1330-1333.
DOI: https://doi.org/10.3341/jkos.2012.53.9.1330 Published online September 15, 2012.

A Case of Conjunctival Hemorrhagic Lymphangiectasia.

Dong Hyun Wang, Jin Kwon Chung, Kyung Seek Choi

Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea. schcornea@schmc.ac.kr

결막의 출혈성 림프관확장증 1예

왕동현⋅정진권⋅최경식

Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea

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.

Key Words: Conjunctiva;Hemorrhage;Hemorrhagic lymphangiectasia;Lymphatic vessel