Management of isolated subconjunctival hemangioma masquerading as ocular surface squamous neoplasia

Abstract

The purpose of this article is to report a case of isolated subconjunctival cavernous hemangioma, masquerading as ocular surface squamous neoplasia (OSSN) in a young male. A 40-year-old male presented with complaints of elevated vascular nodular lesions with feeder vessels in both eyes (right eye > left eye), in temporal limbus for the right eye, and in temporal bulbar conjunctiva for the left eye. Provisional diagnosis of both eyes' OSSN was made. Wide excisional biopsy with cryotherapy was performed for the right eye, and bare sclera was covered with conjunctival autograft. Histopathology report of the lesion showed subconjunctival cavernous hemangioma with no malignancy. The patient did not show any recurrence of lesion in the right eye at 1-year follow-up. Isolated conjunctival hemangioma is rare, but it can be considered as a differential diagnosis of vascular limbal nodules.