Case Study: May 2016


A 20 year old male presents with a pink, vascular, enlarging lump on the lateral bulbar conjunctiva.

There is a concern for malignancy. The lesion is excised.


1. What does Fig 1 show?

2. What features are seen in Fig 2 and 3?

3. What is the favoured diagnosis?

4. With which condition is this diagnosis strongly correlated?

Click to show answers


1. Melanocytic lesion with a discohesive junctional component.

2. Inflammatory cells-lymphocytes and eosinophils admixed with naevus-type cells.

3. This is an inflamed compound juvenile naevus (ICJN).

4. Ocular surface allergies is the classical association.


Zamir E, Mechoulam H, Micera A, Levi-Schaffer F, Pe’er J.Inflamed juvenile conjunctival naevus: clinicopathological characterisation.Br J Ophthalmol. 2002; 86: 28-30