Conjunctival Nevus

Conjunctival Nevus
		SYMPTOMS	No symptoms
		SIGNS	Pigmented lesion on the bulbar conjunctiva (rarely on the palpebral conjunctiva) \| Usually flat and brown (but can be amelanotic or pink-ish)
		WORK-UP	Thorough history and slit lamp examination. Consider baseline anterior segment photos.
		TREATMENT	Observation with photodocumentation \| Suspicious lesions may warrant biopsy
		FOLLOW-UP	Annually to assess for malignancy risk
		ADDITIONAL LAB \| TESTS	Consider biopsy for suspicious lesions
		ETIOLOGY	Congenital
		DIFFERENTIAL DX	Primary acquired melanosis \| Malignant melanoma \| Oculodermal melanocytosis
		NOTES	The amount of pigmentation in a conjunctival nevus can change with time \| Rarely, a melanoma can develop from a nevus.