title: Dematiaceous fungi mimicking a conjunctival melanoma.
abstract: An 85-year-old, immunocompetent man was referred to the authors due to the presence of an enlarging, pigmented mass of the conjunctiva concerning for a conjunctival melanoma. Wide excision of the mass revealed a pigmented or "dematiaceous" fungus. He was treated with topical natamycin, and the lesion healed well without any evidence of recurrence. Dematiaceous fungi should be considered in the differential for pigmented conjunctival lesions.
authors.affiliation: Department of Ophthalmology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27517, USA. hartmoss@gmail.com
authors.forename: Hart B
authors.initials: HB
authors.lastname: Moss
authors.forename: W Craig
authors.initials: WC
authors.lastname: Fowler
authors.forename: Wiley A
authors.initials: WA
authors.lastname: Schell
authors.forename: John R
authors.initials: JR
authors.lastname: Perfect
authors.forename: Dan C
authors.initials: DC
authors.lastname: Zedek
mesh_terms: D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000628:therapy; D003230:Conjunctival Neoplasms / Q000175:diagnosis*; D017679:Cryotherapy; D003937:Diagnosis, Differential; D005093:Exophiala / Q000302:isolation & purification*; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008545:Melanoma / Q000175:diagnosis*; D013508:Ophthalmologic Surgical Procedures; D060446:Phaeohyphomycosis / Q000175:diagnosis* / Q000628:therapy