This article describes several melanocytic lesions of the eye. Benign
and malignant lesions will be discussed as well as a review of the dys
plastic nevus syndrome and its proposed association with ocular melano
ma. Ocular melanomas arise from the same embryologically derived melan
ocytes as their cutaneous counterparts. However, ocular and cutaneous
melanomas differ in many respects. The diagnosis and management of the
se ocular tumors rely heavily on the ophthalmologist. However, knowled
ge of melanocytic lesions will aid the dermatologist in detection and
in proper referral of these patients.