- Nevi are congenital benign melanocytic tumors.
- Classified into junctional, subepithelial, compound, and blue nevus.
- Most common melanocytic conjunctival tumors.
- They are more common in Caucasians and appear within the first two decades of life.
CLINICAL FEATURES:
- Presents from childhood
- Most common site: Interpalpebral conjunctiva near the limbus (no corneal invasion)
- Mostly unilateral
- Usualy stationary - but can exhibit growth due to hormonal changes or local inflammation.
- Light-brown, slightly raised lesion.
- Presence of microcysts
- Well-defined margins
- Can change pigmentation with puberty and pregnancy
- No episcleral fixation/ intrinsic vascularity
- Chance of malignancy is very rare - 1%
INVESTIGATIONS
- AS-OCT - Appearance of cystic spaces
- Histopathology - nests of nevus cells that are present in the junctional and subepithelial area of the conjunctiva.
MANAGEMENT
- Observe
- Very rarely - Excision when growth or change in color is noted
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Image from Rajan Eye Care Hospital