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CLINICAL IMAGE
Year : 2020  |  Volume : 151  |  Issue : 6  |  Page : 613-614

Oculodermal melanocytosis


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110 029, India

Date of Submission08-Dec-2017
Date of Web Publication21-Jul-2020

Correspondence Address:
Shorya Vardhan Azad
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_1950_17

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How to cite this article:
Mittal K, Azad SV. Oculodermal melanocytosis. Indian J Med Res 2020;151:613-4

How to cite this URL:
Mittal K, Azad SV. Oculodermal melanocytosis. Indian J Med Res [serial online] 2020 [cited 2020 Sep 29];151:613-4. Available from: http://www.ijmr.org.in/text.asp?2020/151/6/613/290294



A 16 yr old male presented to the Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India, on August 21, 2017 with a complaint of discolouration around his eye. No history of systemic illness, trauma or drug intake could be elicited. His vision was 20/20 OU. His right-sided face and ocular surface had slate-grey to purple discolouration. Conjunctiva was freely mobile over immobile discolouration, suggestive of scleral pigmentation. His intraocular pressure was normal. Iris heterochromia was apparent OD (right eye) being darker [Figure 1]. Bruckner reflex and fundus photography showed dark-coloured fundus in OD [Figure 2] and [Figure 3]. Diagnosis of oculodermal melanocytosis OD was made. The patient was put on observation, owing to propensity to develop glaucoma and risk of uveal melanoma. Oculodermal melanocytosis is a congenital disorder characterized by discolouration (slate-grey to purple) of skin, episclera, sclera, trabecular meshwork, uvea and orbital tissue due to increase in a number of melanocytes.
Figure 1: (A) Right eye (OD) iris is darker (yellow arrow). Slate-grey discolouration of skin and sclera (red arrow). Conjunctival vessels show over pigmentation. (B) Normal pigmentation of other eye (OS) (yellow arrow over iris and red arrow over sclera).

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Figure 2: Difference in Bruckner reflex of two eyes (blue arrow). OD glow is darker while OS glow is reddish-orange.

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Figure 3: OD fundus pigmentation is darker than OS (red arrow).

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Conflicts of Interest: None.

Note: Patient's consent obtained to publish clinical information and images.


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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