37 year male complaints with this pigmented lesion over the eye. What are the cause for this. and treatment plan.

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Ocular surface squamous neoplasia. Needs excision. Could be due to Papilloma virus, Immunosuppression, smoking, UV rays, genetic or idiopathic. Some of them turn malignant. Can involve Cornea and affect vision.

CONJUCTIVAL MELANOTIC LESION ON TH NASAL ASPECT OF B CONJUCTIVA CLOSE TO LIMBUS ND NEVUS ON THE OHERS SIDE NEEDS BIOPSY OF MELANOTIC LESION

D.D : Pigmented nevus . Ossn. Rx : as per biopsy findings .

Malignanant melanoma wide excision biopsy cryo conjunctival graft

Pigmented, elevated, vascularised Naevus... as age of patient is 37yrs it is must to consider and rule out Ossn. No single feeder vessel can be identified in the picture, if present-it is characteristic sign of ossn. chronic sun exposure is the most common causative factor.

What is treatment in this particular case as you suggest ?
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Pigmented naevus Pigmented ossn Conjunctival melanoma Pigmented pterygium

A Pigment ed naevi ask for sudden increase in size or redness . excision with biopsy to be done.further course of action depends on the biopsy report

D/D Pigmented elevated naevus Foreign body Curvuleria fungal mass Excision and biopsy. History is impory8

Ossn

Sorry doctor,,, what is ossn
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Being safe side, think OSSN and manage with excision biopsy after Mitomycin application.

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