Kissing Nevi

• Developed in-utero, before the eyelid fissure was formed.

Clinical features:

• Symptoms: asymptomatic.
• Signs:
  • 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.

  Management:

  • Observation and photographic follow-up for evidence of size or morphological changes.
  • Consider surgical removal when malignant transformation is suspected.