Purpose To report a case of spontaneous regression of a conjunctival naevus in an adolescent patient.

Methods Rare case presentation

Case presentation Conjunctival naevi represent the most common melanocytic lesions affecting the ocular surface. They are benign conjunctival tumours that usually remain stable, or progressively increase in size and pigmentation. We describe a rare case of a 15-year-old female patient presenting with a conjunctival melanocytic naevus that underwent spontaneous regression over a 2-year-follow up period.

Conclusion Although regression of a conjunctival naevus is an uncommon phenomenon, this potential should be taken into consideration during the decision-making process, when selecting between observation and cosmetic surgical excision for their management.