DR. PRATIK GERA

DR. NIRUPAMA KASTURI, DR. ATHIRA DEVARAJ

Abstract

A 28-year-old male presented with a large conjunctival lobulated, non-pulsatile, red vascular lesion involving a large part of the temporal quadrant of the left globe. There was no proptosis or globe displacement but left eye abduction was limited. T2 weighted MRI scan of the brain and orbit revealed an extensive contrast-enhancing lobulated lesion in the left half of the face involving upper lip, cheek, oral cavity, extraconal space of left orbit and nasal cavity. Considering the extensive nature of the lesion and its involvement, as total excision was not possible, decision was made to perform primary excision of the conjunctival lesion with amniotic membrane graft. The excised specimen sent for histopathological examination showed features consistent with venous hemangioma. This case report emphasizes on considering venous malformation of the conjunctiva and orbit, though extremely rare, as a potential differential diagnosis of vascular lesions of the conjunctiva.