Purpose: This study aimed to present the clinical and histopathological fea
tures of a pigmented spindle cell naevus (PSCN) appearing in the conjunctiv
a. Methods: Histopathological examination of the lesion following excision
and review of the pertinent literature. Results: The features were consiste
nt with those previously recognized in the skin as the PSCN of Reed. Conclu
sion: The PSCN can appear in the conjunctiva and should not be confused wit
h conjunctival melanoma.