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Ibrahim Osama Sayed-Ahmed, James Wong, Juan Carlos Murillo, Madhura G Joag, Nabeel M Shalabi, Afshan Nanji, Anat Galor, Carol L Karp; Blue Nevus of the Ocular Surface. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1498.
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© ARVO (1962-2015); The Authors (2016-present)
To characterize the clinical features and evaluate the course of congenital melanocytic tumor (blue nevus) on the ocular surface.
-Design: Retrospective non comparative case series. -Participants: 30 patients with blue nevi of the ocular surface from two tertiary care centers between 2000 and 2013 who underwent surgical excision. -Main outcome measures: The main outcome measures were characteristics and clinical course.
Of the 30 patients, 29 (97%) were white, 1 (3%) was black. The nevus was described as brown in 25, black in 8, and tan/yellow in 12. The anatomical location of the nevus was the bulbar conjunctiva (9 eyes, 30%), caruncle (2 eyes, 6.7 %), fornix (1 eyes, 3.3%), eyelid (16 eyes, 53%), and cornea (2 eyes, 6.7%). The nevus was found in the temporal quadrant in 4 eyes (13%), nasal quadrant in 14 eyes (47%), superior quadrant in 4 eyes (13%), and inferior quadrant in 6 eyes (20 %) . The nevus was reported to have been stable in 28 patients and enlarging in 2 patients prior to excision. All nevi were successfully excised without complications. After a mean follow up of 28 months (1-58 ), no nevi recurrence was noted.
Blue nevus is an uncommon, congenital melanocytic tumor of the ocular surface with a benign clinical course.
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