Expanding the spectrum of conjunctival vascular lesions: Case of a sclerosing hemangioma

Conjunctival vascular tumors are uncommon and typically represented by lobular capillary hemangiomas, capillary hemangiomas, or cavernous hemangiomas. Sclerosing hemangioma, a rare vascular lesion usually reported in the lung or liver, has not been previously described in the conjunctiva. We present the case of a 69-year-old female who developed a progressively enlarging, nodular mass on the right upper eyelid, presenting acutely with bleeding. Clinical suspicion included both benign and malignant vascular lesions. Excisional biopsy was performed, and histopathology was consistent with a diagnosis of sclerosing hemangioma. This case represents, to our knowledge, the first documented instance of sclerosing hemangioma of the palpebral conjunctiva. Its clinical presentation closely mimicked other more common and potentially malignant lesions, underscoring the importance of complete excision and histopathological confirmation. Awareness of such atypical vascular tumors is essential for accurate diagnosis and optimal management in ophthalmic practice.