A rare case of giant conjunctival nevus in an 11-month-old child

Abstract

Giant conjunctival nevi are considered congenital in origin, with the youngest case reported at 12 years. We describe an 11-month-old baby presenting since birth with a giant conjunctival nevus in the right eye involving inferior 9 o'clock hours of bulbar conjunctiva. Intralesional cysts were noted both on clinical examination and anterior segment optical coherence tomography (ASOCT). Gonioscopy revealed increased trabecular pigmentation. Parents were advised periodic review. Our case highlights that this can occur at birth and emphasizes the need for careful documentation and periodic review considering the rare risk of malignant transformation in these eyes.