Hemangiomas are common developmental vascular malformations. Histologically they are composed of lobules of capillary sized venous channels. (1) While almost exclusively benign when appearing early in life, the clinician must have increased suspicious when a patient over 60 presents with a new capillary hemangioma of the conjunctiva. Some studies have shown a malignancy rate of 60% for new capillary hemangiomas appearing after 60 years of age. (2) For cosmetically bothersome benign lesions, topical beta blockers such as timolol are well tolerated and effective for shrinking the lesion.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
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