**3.4 Treatment**


**Figure 1.** *Conjunctival melanoma.*

**2. Eyelid melanoma**

**3. Conjunctival melanoma**

62 years and is very rare in children [4, 5].

2.Preexisting nevus in 15%

4.Dysplastic nevus syndrome

6.Xeroderma pigmentosum [8]

poorer prognosis (**Figure 1**).

as implantation melanoma [9].

frozen section margin control is ideal.

2.Prominent feeder vessels (conjunctival and scleral)

2.Alcohol keratoepitheliectomy for the corneal involvement.

3.De novo 5% [6, 7]

5.Neurofibromatosis

**3.3 Clinical presentation**

**3.4 Treatment**

**34**

melanoma [3].

*Melanoma*

**3.1 Epidemiology**

**3.2 Risk factors**

Eyelid melanoma is relatively and comprises less than 1% of all eyelid cancers. Serial documentation and close monitoring of suspicious lesions play a very important role in early diagnosis. Variable pigmentation, rapid increase in size, change in color, abnormal vascularity, and tendency to bleed are the typical features of eyelid

The clinical spectrum of melanocytic tumors of the conjunctiva constitutes about 53% of all conjunctival tumors. The reported incidence is two cases per million per year, but the incidence is increasing. It usually occurs at a median age of

1.PAM: 22% (overall: 9%, with atypia: 13%, and without atypia: 0%)

1.Fleshy, variably pigmented (tan to dark brown) placoid, or modular elevated lesion located on the limbal, bulbar, forniceal, or palpebral conjunctiva. The lesions which are localized, bulbar, thin, and limbal have a good prognosis where as those which are large, diffuse, forniceal, on caruncle and tarsus have

3. It can develop secondarily in contiguity with an eyelid margin which is called

1.A careful dissection of the mass with "no-touch technique," wide excision with

