DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.007

Pages: 893-897

Background: Conjunctival melanoma is a rare but potentially life-threatening ocular malignancy. It may masquerade for months or even years as a benign-appearing red lesion or focal conjunctivitis resistant to topical therapy, leading to delayed diagnosis. Case Presentation: We report a rare and misleading case of conjunctival melanoma presenting as a highly vascularized, friable, and bleeding conjunctival mass, clinically suggestive of a conjunctival hemangioma. Histopathological and immunohistochemical analyses confirmed the diagnosis of conjunctival melanoma. Conclusion: This case highlights the diagnostic challenge posed by atypical hemorrhagic presentations of conjunctival melanoma and underscores the importance of early biopsy in suspicious conjunctival lesions.