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Published on: August 9, 2024
Cystic benign melanosis of the conjunctiva
Philip W Laird1, Maria A Woodward, John G Williams
1Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Purpose:
To report the clinical and histologic features of cystic benign melanosis.
Methods:
This case series reports on the clinical and histopathologic features of 3 patients with enlarging, cystic, brown, pigmented, conjunctival lesions.
Results:
Slit-lamp examination showed cystic melanotic lesions of bulbar conjunctiva. Histopathologic examination of the biopsy specimens showed epithelial lined cysts in the substantia propria, goblet cells, and secondary pigmentation of basilar keratinocytes.
Conclusions:
Cystic benign melanosis, a unique conjunctival lesion, should be differentiated from cystic nevus and primary acquired melanosis.
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