Pigmented Conjunctival Nevus

Pigmented Conjunctival Nevus

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Conjunctival nevus occurring in childhood

Conjunctival nevus occurring in childhood.

Category(ies): Cornea / External Eye Disease

Contributor: Ella J. Gehrke, MD; Kanwal Singh Matharu, MD; Pavlina Kemp, MD

Photographer: Michael T. Edrington, CRA

Posted: 03/03/2025

A 10-year-old female presented with a conjunctival lesion at the nasal limbus of her right eye. The lesion measured approximately 1 cm × 6.5 mm, with notable elevation and a melanotic core. A prominent feeder vessel was also observed. The lesion had been slowly enlarging over six years. Her visual acuity was 20/20 OU, with no reported diplopia, and intraocular pressures were within normal limits. Surgical excision was performed, and histopathology confirmed a juvenile compound nevus.

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