Cystic pigmented nevus of the bulbar conjunctiva
Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry
*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.
Category: External Disease
This pigmented cystic nevus of the bulbar conjunctiva is atypical in its location, i.e.it is located superiorly instead of in the palpebral fissure. It also extends into the limbal arcade superiorly. The grayish-white line that lies in the cornea in front of the nevus frequently occurs with congenital lesions, e.g. many dermoids have such a corneal line within the cornea in front of the lesion.
Cystic pigmented nevus of the bulbar conjunctiva in the palpebral fissure zone
This is a more typically located cystic pigmented conjunctival nevus.
Such lesions must be watched for malignant potential, i.e. conjunctival melanoma.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
