DR.SANDEEP PAL

DR. NARENDRA PATIDAR

Abstract

Although cavernous hemangioma(CH) is the most common benign orbital tumour in adults conjunctival CH is a rarity and accounts for less than 1% of all conjunctival tumours. We herein report a case of a 25-year-old male who presented with a large violaceous mass involving inferior bulbar conjunctiva which was present since birth. It was painless, progressive and gradually increased in size over 10 years, and was associated with occasional bleeding. Any syndromic association was ruled out. CEMRI was suggestive of a slow flow vascular malformation involving right superior and inferior eyelids with intraconal and extraconal involvement. An incision biopsy was performed and histopathology (H/P) confirmed the diagnosis of cavernous hemangioma. The conjunctival mass was further managed by surgical debulking with ocular surface reconstruction, while the intraorbital part was kept under observation owing to its small size. The Postoperative period was uneventful.