Conjunctival lymphatic vessel dilatation also known as conjunctival lymphangiectasia is a rare condition which is presumably caused by the obstruction of lymphatic channels or by the abnormal connection between conjunctival lymphatic and blood vessels [
1‐
3]. Etiology is often unknown, it may be caused by trauma, inflammation, neoplasia or it can occur as complication of ocular interventions. It exists in two different forms: (1) as a diffuse enlargement of lymphatic vessels with the clinical appearance of chemosis, and (2) as focally dilated lymphatics that manifests as series of cysts (“string of pearls”) or sausage-shaped clear-walled channels. The latter may become filled with blood (hemorrhagic lymphangiectasia). The condition is usually unilateral, non-congenital unless associated with Turner, and Klippel-Trenaunay-Weber syndromes [
1,
4,
5]. It is frequently asymptomatic and found accidentally on routine eye examinations [
6]. Symptoms may be red eye, foreign body sensation, dryness, irritation, chemosis, epiphora, blurred vision, and pain [
2,
7]. Differential diagnosis includes epithelial inclusion cyst, cystic conjunctival nevus, conjunctival lymphangioma, conjunctivochalasis, allergic conjunctivitis, telangiectasia and neoplasia [
3,
7]. Diagnosis is based on clinical appearance and histology. Although lymphangiectasia can resolve spontaneously [
8] in symptomatic cases topical steroids, surgical intervention (subconjunctival injection of Bevacizumab, excision, liquid nitrogen cryotherapy, or high-frequency radio wave electrosurgery) may be required [
2,
7,
9‐
11].