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Figure 1

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(1) A 12 year old boy with bilateral vernal conjunctivitis. This markedly congested and mildly elevated conjunctival cystic lesion was removed after 3 years of gradual growth. (2) A 14 year old boy with a juxtalimbal, pigmented conjunctival lesion adjacent to the superotemporal limbus. The lesion was known since infancy, but accelerated growth started at age 13. Intralesional cysts are visible clinically. (3) A 13 year old girl with allergic conjunctivitis and a rapidly growing, amelanotic, juxtalimbal lesion, with congested “feeder vessels.” (4) Low magnification histopathological section. Notice naevus cells with junctional activity (examples indicated by black arrows), solid epithelial islands (green arrows), and cystic epithelial islands (blue arrows). Diffuse, chronic inflammatory infiltration is seen in the conjunctival stroma (haematoxylin and eosin, ×10). (5) High magnification histopathological section of the lesion seen in (2). An island of lymphocytes is surrounded by pigmented cells (haematoxylin and eosin, ×100). (6) High magnification histopathological section showing numerous eosinophils and plasma cells. Notice an epithelial island on the right upper part (haematoxylin and eosin, ×100).