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Ophthalmic Images
December 15, 2021

Fingerprint-like Acquired Sessile Conjunctival Hemangioma

Author Affiliations
  • 1Department of Ophthalmology, The 2nd Affiliated Hospital of Harbin Medical University, Harbin, China
JAMA Ophthalmol. 2021;139(12):e214401. doi:10.1001/jamaophthalmol.2021.4401

A lesion was found as an incidental finding in a 41-year-old Chinese man, treated for conjunctivitis in the right eye with previous ophthalmic history of conjunctival foreign body in the left eye. His visual acuity was 20/20 OU. Slitlamp biomicroscopy revealed a conjunctival hemangioma on the nasal side of the left eye, which was difficult to see from a front view and might have been missed during past examinations. The hemangioma had a fingerprint shape surrounded by sporadic pigmentation (Figure). Acquired sessile conjunctival hemangioma is rare. To our knowledge, there have only been reports in an African American individual and White individuals before.1-3 This hemangioma was mostly benign and stable without any complications. We recommended topical timolol to the patient for the cosmetic improvement,2 but he preferred to wait and see rather than take medication because the hemangioma did not lead to any discomfort or consequence.

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