A dark pigmented tumor of the caruncle, had grown in recent months, showed clinically the suspicion of a naevus or a melanoma. Because of the unclear situation and the growth trend, diagnosis was sought and excision was recommended. Histology found, however, only a chronic inflammatory tissue with pigment incontinence and a macrophage response that led to the dark color. No nevus, no malignancy. In OCT a hyperreflective lesion is seen. OCT shows only a refractive index of the tissue, no cellular structures are visible nor a specific diagnosis is possible only with standard spectral OCT.