Isolated Conjunctival Lymphangioma and Epithelial Inclusion Cysts

We report a case of an isolated conjunctival lymphangioma combined with epithelial inclusion cysts on a 34-year-old male. Examination disclosed a yellow-greyish multiloculated cystic lesion of the superior-nasal bulbar conjunctiva in the right eye with dilation of lymphatic vessels. The patient was asymptomatic, the best-corrected vision was not impaired, and the rest of the ocular examination was unremarkable. Excision of the lesion with amniotic membrane graft replacement was performed. Histopathological examination of the lesion demonstrated numerous anastomotic, thin-walled, dilated lymphatic vessels with flattened endothelium and intervascular lymphocytes accumulation and also, there were several small inclusion cysts in the conjunctiva, which is consistent with conjunctival lymphangioma diagnosis combined with epithelial inclusion cysts. The patient remains asymptomatic, and there has been no relapse of the lesion during one year of follow up. We consider the surgical excision of isolated conjunctival lymphangioma as an optimal treatment modality, with a very low risk of recurrence.