Conjunctival Melanoma with Ipsilateral, Non-Contiguous Eyelid Involvement: A Case Report and Comprehensive Review of the Literature

Abstract

• Concurrent pigmentation of the ipsilateral eyelid can occur in up to 15% of cases of conjunctival melanoma. • While conjunctival melanoma may extend into the eyelid in 1% of cases (AJCC cT3b), cases of noncontiguous conjunctival melanoma and eyelid melanoma are very rare with only 5 clearly documented reports in the English literature. Novel Insights • We report a rare case of conjunctival melanoma with non-contiguous eyelid melanoma and provide a comprehensive review of the literature. • This case highlights the importance of long-term follow-up for patients diagnosed with conjunctival melanoma as some instances of secondary eyelid involvement occur several years following the initial diagnosis.