Purpose: To report a unique case of primary corneal melanoma.
Methods: A 59-year-old white woman underwent keratectomy to remove a pigmented rapidly enlarging growth on the corner of her left eye. The specimen was submitted for histopathologic examination.
Results: Ophthalmic examination disclosed no association with limbal or conjunctival melanocytic abnormalities. Histopathologic studies demonstrated nodular malignant melanoma.
Conclusion: Possible development of primary corneal melanoma should be considered in diagnosing all cases with a past history of corneal melanin pigmentation.