Abstract
A 49-year-old woman presented with spontaneous ocular redness and swelling in her right eye. Slit-lamp biomicroscopy revealed diffuse subconjunctival hemorrhage and a circumferential engorgement of the bulbar conjunctival vessels, which appeared as worm-like conjunctival lymph vessels filled with blood. The clinical picture was consistent with the diagnosis of conjunctival hemorrhagic lymphangiectasia with subconjunctival hemorrhage. Conjunctival hemorrhagic lymphangiectasia disappeared rapidly in 4 days, subconjunctival hemorrhage took 10 days to heal. Conjunctival hemorrhagic lymphangiectasia is not an uncommon condition, and clinicians should be aware of its distinguishing features when examining conjunctival hemorrhages.
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