Case Reports: Two 19-year-old patients presented with small nasal conjuncti
val tumors. Histologic examination revealed subepithelial tumors consisting
of large cells with deeply basophilic, small, centrally-placed nuclei and
abundant, slightly eosinophilic cytoplasm with microvesicles. Electron micr
oscopy showed premelanosomes in some of the balloon cells.
Conclusion: The balloon cell nevus is a rare variant of the conjunctival ne
vi. The characteristic intracellular microvesicles are probably degenerativ
e remnants of premelanosomes.