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