Pigmented lesions of the conjunctiva The sheep and the wolf

Pigmented lesions of the conjunctiva: The sheep and the wolf
Marem C Christy, Santosh G Honavar, Kaustubh
Mulay, Shiva Shankar Talloju
Centre for Sight, Hyderabad, Telangana, India
Abstract
Background: Pigmented lesions in the conjunctiva can be
baffling to both the patients and the treating ophthalmologist
because of their varied range of presentation and overlapping
clinical features. The lesions range from incidental pigment
deposition such as mascara and complexion-associated melanosis
to malignant melanoma which poses a risk to life. Similarly,
the management ranges from observation at regular intervals
to aggressive surgery like exenteration. Purpose: We wanted
to present a crisp and precise video of the good, bad, and
ugly pigmented lesions of the conjunctiva, highlighting their
specific clinical features important for the diagnosis and their
management. Synopsis: This video describes the myriad of
pigmented conjunctival lesions, their diagnostic characteristics,
and management based on oncological principles. Highlights: Pigmented lesions can have variable presentation and close mimics, therefore, it is
important to differentiate and identify the lesions accurately.
This video highlights different pigmented lesions and their
individual characteristic features. Video link: youtu.be/
m9tt7dx9SWc
Key words: Conjunctiva, melanosis, nevus
Correspondence to: Dr. Santosh G Honavar, Centre for Sight, Ashoka
Capitol, Banjara Hills, Road Number 2, Hyderabad, Telangana, India.
E-mail: [e-mail]