case_images: PMC10948165_01
case_images: Compound cystic nevus of superior conjunctival fornix. a Clinical photograph demonstrating the lesion involving the right superior palpebral conjunctiva and fornix. An adjacent pigmented elevated lesion involving the caruncle with surrounding melanosis is marked with an asterisk. b Clinical photograph with right upper eyelid eversion demonstrates the entire lesion. c Histologic examination revealed heavily pigmented melanocytes, mature nevus cells, and abundant melanin-laden macrophages in the underlying stroma, consistent with a pigmented cystic compound nevus of the conjunctiva. Multiple cysts were also present (hematoxylin and eosin, magnification, x10). d Clinical photograph at last visit showing early symblepharon changes.
case_images: cop-2024-0015-0001-537876_F01.jpg
case_images: PMC10948165_01_cop-2024-0015-0001-537876_F01.jpg
case_images: F1
case_images: In addition, there was additional pigmentation temporal to the main lesion over the palpebral conjunctiva (Fig. 1a, b). No evidence of pagetoid spread or dysplasia was detected (Fig. 1c). The patient has had an uncomplicated postoperative course and will be continued to be monitored for recurrence (Fig. 1d).