International Journal of Ophthalmology & Visual Science

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Giant Conjonctival Naevus: Case Report from Bamako

Received: 24 August 2019    Accepted: 23 September 2019    Published: 09 October 2019
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Abstract

Conjunctival nævus is a common tumour in the conjunctiva. It can appear clinically in childhood or adolescence. The juxta limbic location (on the temporal side and near the palpebral fissure) of the nævus is the most frequent. Its presence at the level of the lacrimal caroncula (inner angle of the eye) and the semi-lunar fold (outside the caroncula) is more rare. Their pigmentation varies with age. Thus, almost 25% of them are amelanotic (especially in children). The pigmentation varies according to several factors: the congenital character of these nævi; hormonal changes during pregnancy; intense exposure to the sun. In addition, a change in pigmentation can be observed in almost 25% of cases with inflammation, or in cases of intense activity of melanophages. The size of the nævi tends to increase with age. This is usually done after puberty. We report a case of a 2-year-old boy with a pigmented conjunctival nævus about 2 cm long, flat, limbal and bulbar juxta at the temporal side. The rest of the eye exam is normal. The child has been entrusted to the team of the orbito-palpebral surgery and the annexes for the continuation of the management. We will present its clinico-histological and therapeutic aspects.

DOI 10.11648/j.ijovs.20190404.11
Published in International Journal of Ophthalmology & Visual Science (Volume 4, Issue 4, December 2019)
Page(s) 63-65
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Conjonctival Naevus, Congenital, Infant, Mali

References
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[2] Desjardins L. Anatomie pathologique en ophtalmologie. Tumeurs intra-oculaires. Issy-les-Moulineaux: Elsevier Masson/SFO; 2011-2012, p. 61.
[3] Gerner N, Nørregaard JC, Jensen OA, Prause JU. Conjunctival naevi in Denmark 1960–1980. A 21-year follow-up study. Acta Ophthalmol Scand 1996; 74: 334-7. https://www.ncbi.nlm.nih.gov/pubmed/8883545
[4] Levecq L, De Potter P, Jamart J. Conjunctival nevi clinical features and therapeutic outcomes. Ophthalmology2010; 117 (1): 35-40. doi: 10.1016/j.ophtha.2009.06.018. https://www.ncbi.nlm.nih.gov/pubmed/19896191
[5] Shields CL, Shields JA. Conjunctival tumors in children. Curr Opin Ophthalmol 2007; 18 (5): 351-60. https://doi.org/10.1097/ICU.0b013e32823ecfbb
[6] Shields CL, Regillo AC, Mellen PL, Kaliki S, Lally SE, Shields JA. Giant conjunctival nevus: clinical features and natural course in 32 cases. JAMA Ophthalmol 2013; 131 (7): 857-63. https://www.ncbi.nlm.nih.gov/pubmed/23702735
[7] Carol L. Shields; Airey Fasiudden; Arman Mashayekhi; Jerry A. Shields. Conjunctival Nevi Clinical Features and Natural Course in 410 Consecutive Patients. Arch Ophthalmol. 2004; 122: 167-175.
[8] Vizvári E, Skribek Á, Polgár N, Vörös A, Sziklai P, Tóth-Molnár E (2018) Conjunctival melanocytic naevus: Diagnostic value of anterior segment optical coherence tomography and ultrasound biomicroscopy. PLoS ONE 13 (2): e0192908. https://doi.org/10.1371/journal.pone.0192908
[9] Deepali Jain. Pathological case of the month. Balloon cell nevus of the conjunctiva. Arch Pediatr Adolesc Med. 2001 Jan; 155 (1): 93-4. http://www.pathologyoutlines.com/topic/eyenevi.html
[10] Carol L. Shields, Airey Fasiudden, Arman Mashayekhi, Jerry A. Shields. Conjonctival Nevi. ArchOphtalmol.2004; 122: 167-175. https://jamanetwork.com/journals/jamaophthalmology/fullarticle/416115
[11] Tobias Röck, Hans-Christian Bösmüller, Karl Ulrich Bartz-Schmidt, and Daniel Röck. Surgical management of a conjunctival nevus with amniotic membrane transplantation. Int Med Case Rep J. 2018; 11: 161–165. doi: 10.2147/IMCRJ.S164099.
[12] Soltani-Arabshahi R, Sweeney C, Jones B, Florell SR, Hu N, Gross-man D. Predictive value of biopsy specimens suspicious for melanoma: support for 6-mm criterion in the ABCD rule. J Am Acad Dermatol. 2015; 72 (3): 412–418. doi: 10.1016/j.jaad.2014.11.030. https://www.ncbi.nlm.nih.gov/pubmed/25582536
[13] Ji-Won Kwon. Laser Treatment of Conjunctival Nevus. J Clin Ophthalmol. Eye Disord. 2017; 1 (4): 1016. http://www.remedypublications.com/clinical-ophthalmology-eye-disorders/articles/pdfs_folder/jcoed-v1-id1016.pdf
[14] Abdulrahman M. Alsharif, Saeed M. Al-Gehedan, Tariq Alasbali, Hisham S. Alkuraya, Nancy M. Lotfy, and Rajiv Khandekar. Argon Laser Photoablation for Treating Benign Pigmented Conjunctival Nevi. Middle East Afr J Ophthalmol. 2016 Jul-Sep; 23 (3): 247–249. doi: 10.4103/0974-9233.186098. http://www.meajo.org/article.asp?issn=0974-9233; year=2016; volume=23; issue=3; spage=247; epage=249; aulast=Alsharif.
Author Information
  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

  • Institute of African Tropical Ophthalmology, Bamako University of Science and Technology, Bamako, Mali

Cite This Article
  • APA Style

    Seydou Bakayoko, Seydou Diallo, Rodrigue Romuald Elien Gagnan Yan Zaou Tou, Adama Guindo, Brainima Coulibaly, et al. (2019). Giant Conjonctival Naevus: Case Report from Bamako. International Journal of Ophthalmology & Visual Science, 4(4), 63-65. https://doi.org/10.11648/j.ijovs.20190404.11

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    ACS Style

    Seydou Bakayoko; Seydou Diallo; Rodrigue Romuald Elien Gagnan Yan Zaou Tou; Adama Guindo; Brainima Coulibaly, et al. Giant Conjonctival Naevus: Case Report from Bamako. Int. J. Ophthalmol. Vis. Sci. 2019, 4(4), 63-65. doi: 10.11648/j.ijovs.20190404.11

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    AMA Style

    Seydou Bakayoko, Seydou Diallo, Rodrigue Romuald Elien Gagnan Yan Zaou Tou, Adama Guindo, Brainima Coulibaly, et al. Giant Conjonctival Naevus: Case Report from Bamako. Int J Ophthalmol Vis Sci. 2019;4(4):63-65. doi: 10.11648/j.ijovs.20190404.11

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  • @article{10.11648/j.ijovs.20190404.11,
      author = {Seydou Bakayoko and Seydou Diallo and Rodrigue Romuald Elien Gagnan Yan Zaou Tou and Adama Guindo and Brainima Coulibaly and Jean Michel Mbaïkoua and Mahamat Adam Dicko and Jean Marc Léré Tiama and Mamasile Clement Bagouya and Japhet Pobanou Thera},
      title = {Giant Conjonctival Naevus: Case Report from Bamako},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {4},
      number = {4},
      pages = {63-65},
      doi = {10.11648/j.ijovs.20190404.11},
      url = {https://doi.org/10.11648/j.ijovs.20190404.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijovs.20190404.11},
      abstract = {Conjunctival nævus is a common tumour in the conjunctiva. It can appear clinically in childhood or adolescence. The juxta limbic location (on the temporal side and near the palpebral fissure) of the nævus is the most frequent. Its presence at the level of the lacrimal caroncula (inner angle of the eye) and the semi-lunar fold (outside the caroncula) is more rare. Their pigmentation varies with age. Thus, almost 25% of them are amelanotic (especially in children). The pigmentation varies according to several factors: the congenital character of these nævi; hormonal changes during pregnancy; intense exposure to the sun. In addition, a change in pigmentation can be observed in almost 25% of cases with inflammation, or in cases of intense activity of melanophages. The size of the nævi tends to increase with age. This is usually done after puberty. We report a case of a 2-year-old boy with a pigmented conjunctival nævus about 2 cm long, flat, limbal and bulbar juxta at the temporal side. The rest of the eye exam is normal. The child has been entrusted to the team of the orbito-palpebral surgery and the annexes for the continuation of the management. We will present its clinico-histological and therapeutic aspects.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Giant Conjonctival Naevus: Case Report from Bamako
    AU  - Seydou Bakayoko
    AU  - Seydou Diallo
    AU  - Rodrigue Romuald Elien Gagnan Yan Zaou Tou
    AU  - Adama Guindo
    AU  - Brainima Coulibaly
    AU  - Jean Michel Mbaïkoua
    AU  - Mahamat Adam Dicko
    AU  - Jean Marc Léré Tiama
    AU  - Mamasile Clement Bagouya
    AU  - Japhet Pobanou Thera
    Y1  - 2019/10/09
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijovs.20190404.11
    DO  - 10.11648/j.ijovs.20190404.11
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 63
    EP  - 65
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20190404.11
    AB  - Conjunctival nævus is a common tumour in the conjunctiva. It can appear clinically in childhood or adolescence. The juxta limbic location (on the temporal side and near the palpebral fissure) of the nævus is the most frequent. Its presence at the level of the lacrimal caroncula (inner angle of the eye) and the semi-lunar fold (outside the caroncula) is more rare. Their pigmentation varies with age. Thus, almost 25% of them are amelanotic (especially in children). The pigmentation varies according to several factors: the congenital character of these nævi; hormonal changes during pregnancy; intense exposure to the sun. In addition, a change in pigmentation can be observed in almost 25% of cases with inflammation, or in cases of intense activity of melanophages. The size of the nævi tends to increase with age. This is usually done after puberty. We report a case of a 2-year-old boy with a pigmented conjunctival nævus about 2 cm long, flat, limbal and bulbar juxta at the temporal side. The rest of the eye exam is normal. The child has been entrusted to the team of the orbito-palpebral surgery and the annexes for the continuation of the management. We will present its clinico-histological and therapeutic aspects.
    VL  - 4
    IS  - 4
    ER  - 

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