Abstract

Purpose : To remove a giant conjunctival nevus both for cosmetic improvement and histopathology confirmation and to prevent future complication.
Methods: A large (10 clock hours) recurrent congenital conjunctival compound nevus ( incisional biopsy histopathology confirmed ) with deep inferior stromal invasion of corneal limbus was surgically removed in a 30 years old Indian gentleman. Removal of the limbal invasion had a great difficulty because of deep invasion and layer by layer meticulous dissection was needed for complete removal. The defect was closed with amniotic membrane graft.
Results : The results were gratifying with good cosmetic outcome and no recurrence up to last 1 year of follow up
Conclusion : case selection , proper planning and additional procedure of amniotic membrane grafting or limbal stem cell transplant may be necessary in some deep limbal involving nevus