Singh Manpreet, Gautam Natasha, Kaur Manpreet, Zadeng Zoramthara
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Ophthalmol. 2017 Nov;65(11):1219-1221. doi: 10.4103/ijo.IJO_407_17.
A 20-year-old girl presented with a large pigmented lesion over the temporal aspect of left lateral canthus involving the lateral one-third of both eyelids, since birth. A slow increase in its size had been noticed for the past 2 years. On examination, a hairy nevus measuring 34 mm × 22 mm was noticed involving left eyelid skin, the mucocutaneous junction (MCJ), palpebral conjunctiva, and lateral canthus. The surface was irregularly thick and covered with long, thick, and pigmented hairs. A clinical diagnosis of kissing nevus of eyelids was kept and a surgical resection with reconstruction planned. A customized full-thickness skin graft (FTSG) and amniotic membrane grafts (AMGs) were used for the reconstruction of cutaneous and MCJ, respectively. Histopathology showed the features of junctional nevus. At 4 months of follow-up, a well taken FTSG and healthy/sharp MCJ were noticed with no recurrence. We advocate a possible role of AMG, particularly in the reconstruction of the conjunctival mucosa and MCJ.
一名20岁女孩自出生以来，左外眦颞侧出现一个大的色素沉着病变，累及双侧眼睑的外侧三分之一。在过去2年中，发现其大小缓慢增加。检查时，发现一个大小为34 mm×22 mm的毛发痣，累及左眼睑皮肤、黏膜皮肤交界处（MCJ）、睑结膜和外眦。表面不规则增厚，覆盖着长而粗的色素沉着毛发。临床诊断为眼睑接吻痣，并计划进行手术切除及重建。分别使用定制的全厚皮片（FTSG）和羊膜移植片（AMG）对皮肤和MCJ进行重建。组织病理学显示为交界痣的特征。随访4个月时，可见移植的FTSG情况良好，MCJ健康/边界清晰，无复发。我们提倡AMG可能发挥的作用，特别是在结膜黏膜和MCJ的重建中。
