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A pigmented lesion on the eye

BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.l6810 (Published 09 January 2020) Cite this as: BMJ 2020;368:l6810
  1. Olivia M Bennett, medical student1,
  2. Rajesh C Rao, assistant professor, ophthalmologist15
  1. 1Department of Ophthalmology & Visual Sciences, W K Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA
  2. 2Department of Pathology, University of Michigan, Ann Arbor, MI, USA
  3. 3Comprehensive Cancer Center, University of Michigan, Ann Arbor, MI, USA
  4. 4A Alfred Taubman Medical Research Institute, University of Michigan, Ann Arbor, MI, USA
  5. 5Section of Ophthalmology, Surgical Service, Veterans Administration Ann Arbor Healthcare System, Ann Arbor, MI, USA
  1. Correspondence to
    R C Rao rajeshr{at}umich.edu

A 46 year old white woman was referred for ophthalmologic evaluation of a pigmented lesion on the ocular surface of her left eye. The lesion had been noted during a routine eye examination by her general practitioner. She had first noticed the lesion six years earlier, believing it to be gradually increasing in size. Slit lamp biomicroscopy of the eye is shown in fig 1. No cysts were noted within the lesion and no other lesions were evident on complete ophthalmic examination, which included eversion of the eyelids and …

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