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Ophthalmic Images
November 10, 2016

Mascara-Induced Conjunctival Pigmentation

Author Affiliations
  • 1Ophthalmic Consultants of Long Island, Rockville Centre, New York
  • 2Ophthalmic Consultants of Long Island, Westbury, New York
JAMA Ophthalmol. 2016;134(11):e162720. doi:10.1001/jamaophthalmol.2016.2720

A woman in her 60s was referred for a second opinion of the right eye with a presumptive diagnosis of conjunctival melanoma. Ocular evaluation was unremarkable except for excessive eye makeup and bilateral inferior conjunctival pigmentation in a patchy, linear pattern noted to be more prominent in the right eye (Figure, A). Pathology showed normal epithelium with submucosal tissue showing mild sparse chronic inflammation and focal patches of pigment-laden macrophages in a linear pattern (Figure, B). These superficial subepithelial collections of pigment-laden macrophages were consistent with the diagnosis of mascara-induced conjunctival pigmentation.1