A 16 years old boy presented to the eye OPD with a conjunctival growth of one year duration which was gradually increasing in size. On examination visual acuity was 6/6 in both eyes. It was a conjunctival growth originating from the inferior fornix and lateral end of medial canthus, it was like a pedunculated, congested, out pouching of the conjunctiva. We opted for excision biopsy and per-operatively it was found to be very vascular and tough tissue to cut. End to end conjunctival suturing was done to cover the defect. The histopathology done at Liaquat National Hospital, histopathology lab. showed it to a leiomyoma.
