Purpose We want to demonstrate an unusual conjunctival Non-Hodgkin-Lym
phoma with bleedings. Patient A 77-year-old female patient presented w
ith an entropion of the left lower eye-lid. Bilaterally reddish, soft
tumors showed in the lower fornices with circumscript bleedings. On ac
count of an absolute arrhythmia of the heart the patient has been on a
medication of cumarine-derivates since 9 years. Histologically we fou
nd underneath the epithelium densely packed lymphocytic cells with sma
ll uniform nuclei intermingled with many erythrocytes. The immunohisto
logical investigations revealed a Non-Hodgkin-Lymphoma of B-cell origi
n. Conclusions Bleedings in a conjunctival Non-Hodgkin-Lymphoma can al
ter the clinical aspect of the tumor. It is necessary to inspect each
entropion thoroughly in order to rule out any other pathological lesio
ns.