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- Developed in-utero, before the eyelid fissure was formed.
- Symptoms: asymptomatic.
- Congenital pigmented lesions that are located in an apposed area on both upper and lower lid
- The lesion may be flat, nodular, verrucous or hairy
- May undergo malignant transformation.
- Observation and photographic follow-up for evidence of size or morphological changes.
- Consider surgical removal when malignant transformation is suspected.