Intrapunctal nevus presenting with inflammatory symptoms.

Irimpan Lazar FRANCIS ¹, Mohan RAMALINGAM ¹, Nadir Ali Mohamed ALI ¹, Nayan JOSHI ¹, Pemasiri Upali TELISINGHE ²

¹ Department of Ophthalmology and ² Department of Pathology, RIPAS Hospital, Brunei Darussalam

ABSTRACT

A nevus is usually an in-born hamartomatous benign tumour that is solitary, well circumscribed, flat or slightly elevated with smooth or lobulated surface. Congenital nevi are present in nearly 2-3% of all newborns. An 83-year-old man presented with watering and itching of the left eye that was associated with a pigmented lesion involving the left upper intra-punctal and peri-punctal region. The lesion was excised and was confirmed to be a nevus. To our knowledge, this is the first report of an intra-punctal nevus in Brunei Darussalam. All doubtful pigmented lesions of the conjunctiva and those at unusual sites should be subjected to histopathological studies in order not to miss a malignant lesion.

Keywords: Eyelids, peripunctal, intrapunctal, nevus

Correspondence author: Irimpan Lazar FRANCIS, Department of Ophthalmology, RIPAS Hospital, Bandar Seri Begawan, BA1710, Brunei Darussalam. Tel: +673-8772253 E mail: fril50@hotmail.com

Brunei Int Med J. 2014; 10 (1): 38-41