Successful surgical management of large conjunctival nevus in a 10-year-old child with resection and amniotic membrane transplantation

Kiew Ing Tiong,Shiivaa Manjare A/P Birapadian

doi:10.35119/asjoo.v17i3.755

Kiew Ing Tiong, Shiivaa Manjare A/P Birapadian

Open Access

https://doi.org/10.35119/asjoo.v17i3.755

Copy DOI

Abstract

The purpose of this paper is to illustrate a case of large conjunctival nevus in a 10-year-old boy which was successfully treated with surgical excision and amniotic membrane transplant (AMT) reconstruction. The conjunctival nevus was initially noticed by the parents 1 year prior to presentation; they reported it had increased in size over the past 3 months. Slit-lamp examination revealed a pigmented conjunctival nevus measuring 5.5 mm vertically and 6.5 mm horizontally, with well-demarcated margins and presence of an intralesional cyst at the temporal bulbar conjunctiva, involving the limbus and encroaching onto the cornea. Complete resection of the conjunctival lesion and bulbar conjunctival reconstruction were performed. The histopathological examination showed conjunctival nevus. The wound healed well with vision of 6/6 and no recurrence. Surgical resection combined with AMT is a successful and an effective way to treat conjunctivalnevus.

Highlights

Conjunctival nevus is the commonest benign lesion of the ocular surface
Amniotic membrane transplantation (AMT) was first performed in humans as a skin substitute to treat an open wound in 1910.2 AMT promotes epithelial wound healing, shows antibacterial, anti-inflammatory, antiscarring, and antiangiogenic properties
There are fewer than 20 publications of conjunctival nevus with AMT worldwide

Summary

Introduction

Conjunctival nevus is the commonest benign lesion of the ocular surface. It is usually found in the bulbar conjunctiva, caruncle, and plica semilunaris. It is seen in the fornix, tarsus, or cornea.[1] Amniotic membrane transplantation (AMT) was first performed in humans as a skin substitute to treat an open wound in 1910.2 AMT promotes epithelial wound healing, shows antibacterial, anti-inflammatory, antiscarring, and antiangiogenic properties. There are fewer than 20 publications of conjunctival nevus with AMT worldwide. We report a case of large conjunctival nevus in a child which required AMT following nevus resection

Objectives

Findings

Conclusion