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Idiopathic Conjunctival Calcinosis Associated With an Intradermal and Subepithelial Nevus of the Eyelid Margin.

Charles, Norman C. M.D.*,†; Belinsky, Irina M.D.

Ophthalmic Plastic & Reconstructive Surgery: September/October 2019 - Volume 35 - Issue 5 - p e110–e111
doi: 10.1097/IOP.0000000000001434
Case Reports

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:

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.