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Ophthalmic Images
March 12, 2020

Atypical Presentation of Conjunctival Vascular Malformation

Author Affiliations
  • 1Department of Ophthalmology and Visual Science, Kellogg Eye Center, University of Michigan, Ann Arbor
JAMA Ophthalmol. 2020;138(3):e190895. doi:10.1001/jamaophthalmol.2019.0895

A 79-year-old man with a history of blunt trauma 1 month prior to presentation noted a new, colored lesion in his right eye. On examination, a brown, superonasal, limbal conjunctival lesion with overlying dilated vessels was found. It measured 6.5 × 5.5 mm and was 0.9 mm thick (Figure, A). On ultrasound biomicroscopy and anterior segment–optical coherence tomography, the lesion had intact, overlying epithelium and heterogenous, intrinsic structures with solid areas and areas of cystoid abnormalities. There was no scleral or corneal invasion. The patient underwent excisional biopsy with a no-touch technique, and a histopathological examination revealed a venous or lymphatic malformation (Figure, B).

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