Anterior segment - ocular surface

Pigmented Conjunctival Lesions

Differential of pigmented conjunctival lesion

  • Complexion-associated/racial melanosis
  • Primary acquired melanosis
  • Naevus
  • Melanoma
  • Oculodermal melanosis

Primary acquired melanosis

  • Unilateral

  • Highly asymmetric

  • Non-cystic

  • Develops in lighter skinned people in middle age

  • Risk of progression

    • More than 3 clock hours of pigmentation
    • Caruncular,…
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Sclera