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Updated: Sep 13, 2025

Implantation and Evaluation of Melanoma in the Murine Choroid via Optical Coherence Tomography
Published on: December 2, 2022
Corneally displaced conjunctival Melanoma: Rare presentations of recurrent melanoma
Eric Boya Lee1, Ahmad Al-Moujahed2, Michael D Yu2
1Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, 19107, USA.
Purpose:
To describe long term follow-up of two cases of corneally displaced conjunctival melanoma with multiple recurrences.
Observations:
Case 1 is a 49-year-old male with recurrent conjunctival melanoma and primary acquired melanosis treated over 13 years, who eventually presented with an elevated amelanotic corneal mass. Case 2 is a 61-year-old female with a similar history of recurrent conjunctival melanoma and primary acquired melanosis treated over 21 years, who presented with a subepithelial corneal opacity. Both patients were treated with a combination of topical chemotherapy, wide excision, map biopsy, cryotherapy, and local and systemic workup showing no evidence of metastasis.
Conclusions And Importance:
Conjunctival melanoma has a high risk of recurrence and can present as amelanotic corneally displaced conjunctival melanoma, warranting thorough workup to detect potential subclinical spread of the disease.
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