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Case Report of Conjunctival Melanoacanthoma
Nitya Rao1, Donovan Reed2, Aliza Epstein2
1Department of Ophthalmology, Dell Medical School, University of Texas, Austin, TX.
Cornea
|November 1, 2021
Summary
This case study details a rare conjunctival melanoacanthoma, a pigmented lesion on the eye. Diagnosis involved histopathology, revealing melanocyte proliferation and epithelial dysplasia, with no recurrence observed.
Area of Science:
- Ophthalmology
- Dermatopathology
Background:
- Conjunctival melanoacanthoma is an exceptionally rare ocular tumor.
- Melanoacanthomas typically arise from skin or oral mucosa, often linked to irritation or trauma.
Observation:
- A 34-year-old male presented with a solitary, pigmented conjunctival lesion and bilateral pterygia.
- The lesion was asymptomatic and suspected to be related to chronic solar damage.
Findings:
- Histopathologic examination confirmed conjunctival melanoacanthoma with features of melanocyte proliferation, epithelial dysplasia, and acantholysis.
- The excised lesion showed no signs of recurrence during follow-up.
Implications:
- This report adds to the scarce literature on conjunctival melanoacanthoma.
- The lack of documented cases highlights the absence of a standard treatment protocol for this rare condition.

