Abstract
Purpose:To report a case exhibiting drastic regression of a conjunctival nevus in a child.Case Report:Spontaneous regression of conjunctival nevus is uncommon. We report the case of a nine-year-old Caucasian boy presenting a conjunctival-pigmented lesion situated at the plica semilunaris that underwent a significant reduction in size and color over a period of 15 months.Conclusion:Conjunctival nevus in children is common but regression is rare, especially at the plica. This information could form an important part of the consent process when choosing between observation and surgical excision in the management of a small conjunctival lesion with no suspicious clinical features; since the latter invasive treatment involves risks such as infection, scarring and the possible risk of general anesthesia in children.
Highlights
Conjunctival nevi are the most common melanocytic lesions on the ocular surface
Conjunctival nevus is a benign tumor, which can have a change in color and/or size over time.[2]
Spontaneous regression has been previously described in a six‐year‐old with a small bulbar conjunctival nevus in the interpalpebral region, over a period of seven years.[5]
Summary
Conjunctival nevi are the most common melanocytic lesions on the ocular surface. Most acquired lesions appear in childhood or during adolescence; they are typically located in the interpalpebral bulbar conjunctiva, caruncle, or pilca semilunaris.[2] Other locations such as fornix, palpebral conjunctiva, or within the cornea are rare and one should always consider other differential diagnosis such as conjunctival melanocytic intraepithelial neoplasia (C‐MIN) or invasive conjunctival
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