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360° Circumferential Hemorrhagic Lymphangiectasia of the Conjunctivae
360°로 발생한 결막의 출혈림프관확장증
JKOS 2020 Mar;61(3):298-302
Published online March 15, 2020;  https://doi.org/10.3341/jkos.2020.61.3.298
Copyright © 2020 The Korean Ophthalmological Society.
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Su Jin Park, MD1, Mijung Chi, MD, PhD2
박수진1⋅지미정2

St. Mary Eye Center1, Chungju, Korea
Department of Ophthalmology, Gachon University Gil Medical Center2, Incheon, Korea
충주성모안과1, 가천대학교 길병원 안과학교실2
Received June 7, 2019; Revised August 25, 2019; Accepted February 21, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: We report a case of hemorrhagic lymphangiectasia of the conjunctiva with a 360° connected circumference, which recovered spontaneously.
Case summary: A 44-year-old female patient presented with congestion of the right eye 1 day prior to her visit. There was no history of any systemic disease or trauma, but she had experienced relapses of the same episode three times before the visit. There were no accompanying symptoms such as decreased vision or pain. Blood analysis, orbital computed tomography, and angiographic findings showed no remarkable finding. Slit lamp examination showed circumferential lymphatic dilatation extending 360° under the conjunctiva of the eye at a distance of about 6 mm behind the limbus of the right eye, which was accompanied by intralymphatic bleeding. Irregular local lymphatic dilatations were observed on the bulbar conjunctiva at 4 and 8 o'clock of the left eye. The bleeding spontaneously resolved in about 2 weeks, but the translucent enlarged lymphatic vessels were still observed on slit lamp examination and anterior segment optical coherence tomography.
Conclusions: This is the first reported case of hemorrhagic lymphangiectasia involving 360° of the bulbar conjunctiva in Republic of Korea.
Keywords : Conjunctivae, Hemorrhagic lymphangiectasia, Lymphangiectasia haemorrhagica conjunctivae

 

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