A 37-year-old woman underwent excision of a congenital melanocytic nevus of the right lower eyelid margin for cosmetic reasons. She suffered from a severe dry eye syndrome which was partially alleviated with various topical eye drops. Histopathology of the excised tissue displayed flecks of calcium that were present within the immediate subepithelial conjunctival fibrous tissue but not the nevocytes or the cutaneous surface. Unlike calcinosis cutis, wherein calcium is deposited within the cutaneous dermis, calcification of the conjunctival substantia propria is rare and may be related to the dry eye state.
A rare occurrence of calcinosis of the conjunctival portion of an eyelid marginal subepithelial nevus is demonstrated.
Departments of *Ophthalmology
†Pathology, New York University Langone Medical Center, New York, New York, U.S.A.
Accepted for publication June 5, 2019.
The authors have no financial or conflicts of interest to disclose.
Address correspondence to Norman C. Charles, M.D., Department of Ophthalmology, New York University Langone Medical Center, 550 First Avenue, New York, NY 10016. E-mail: email@example.com