Purpose: To report a patient with a melanotic lesion of the conjunctiva that mimicked melanoma but proved to be a fungal infection on biopsy.
Design: Interventional case report.
Methods: A 75-year-old white man was examined for a 3-month history of a deeply pigmented lesion of the conjunctiva at the limbus of the right eye that closely resembled conjunctival melanoma. The lesion was completely excised.
Results: Histologic examination revealed fungal elements without evidence of tumor.
Conclusion: Although rare, fungi should be included in the differential diagnosis of pigmented lesions of the conjunctiva.