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Updated: Jul 31, 2026
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Published on: April 7, 2014
Compound nevus of the cornea simulating a foreign body
J A Shields1, C L Shields, Eagle RCJr
1Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Purpose:
To report a corneal nevus, without conjunctival involvement, that clinically simulated a metallic foreign body.
Methods:
Case report with clinicopathologic correlation.
Results:
A 22-year-old man developed a superficial pigmented lesion of his left cornea. It was suspected to be a chronically retained foreign body, but a melanocytic neoplasm could not be excluded. The lesion was removed by lamellar keratectomy and proved histopathologically to be a compound nevus of the cornea, without conjunctival involvement.
Conclusions:
Melanocytic nevus can rarely occur in the cornea. Involvement of the cornea by a melanocytic lesion does not necessarily imply a malignant melanoma.
