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The clinical evolution of a kissing naevus after incomplete excision
  1. W Y Wu-Chen1,2,
  2. C R Bernardino1,3,
  3. P A D Rubin1
  1. 1Massachusetts Eye and Ear Infirmary, Harvard Medical School, Ophthalmic Plastic, Orbital and Cosmetic Surgery, 243 Charles Street, Boston, MA, USA
  2. 2Lankanau Hospital, Thomas Jefferson University, 100 Lancaster Avenue, Wynnewood, PA19096, USA
  3. 3Emory Eye Center, Emory University School of Medicine, 1365 B Clifton Road, NE, Atlanta, GA, USA
  1. Correspondence to: C Robert Bernardino MD Emory Eye Center, Oculoplastics and Orbital Surgery, 1365B Clifton Road, NE, Atlanta, GA 30322, USA;

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We present an interesting case of a kissing naevus which was not completely excised during the patient’s childhood, 29 years before presentation.

Case report

A 33 year old white man complained of progressive thickening of the eyelids which caused significant inferior visual field defect with downgaze (fig 1). A large, circumorbital pigmented naevus in the right eye had been present since birth. There was minimal growth through early childhood. This mass did not cause ptosis nor was it amblyogenic.

Figure 1

Clinical appearance of the patient at age 33 years. A verrucous thickening caused right upper lid ptosis and lower lid thickness, compromising …

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