Publication: Ocular Findings in Oculodermal Melanocytosis
Issued Date
1990-01-01
Resource Type
ISSN
15383601
00039950
00039950
Other identifier(s)
2-s2.0-0025079713
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Archives of Ophthalmology. Vol.108, No.8 (1990), 1114-1120
Suggested Citation
Chaiwat Teekhasaenee, Robert Ritch, Uthai Rutnin, Nisit Leelawongs Ocular Findings in Oculodermal Melanocytosis. Archives of Ophthalmology. Vol.108, No.8 (1990), 1114-1120. doi:10.1001/archopht.1990.01070100070037 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/16162
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Title
Ocular Findings in Oculodermal Melanocytosis
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Abstract
We examined 194 patients with oculodermal melanocytosis. Dermal involvement alone was present in 67 (34.5%) patients, while 12 (6.2%) had only ocular involvement. The remaining 115 (59.3%) patients had both ocular and dermal pigmentation. Dermal hyperpigmentation in the combined distribution of the ophthalmic and maxillary divisions of the trigeminal nerve and hyperpigmentation of the nasal or buccal mucosa were closely associated with ocular involvement. Ocular hyperpigmentation most commonly involved the episclera. Associated ocular findings included elevated intraocular pressure with or without glaucoma (10.3%), uveitis (2.6%), cataract (1%), asymmetric cupping of the optic nerve head unassociated with glaucoma (9.8%), and orbital melanoma (0.5%). The most serious complication of oculodermal melanocytosis is malignant transformation, while glaucoma appears to be the more common one. Patients with oculodermal melanocytosis and ocular hyperpigmentation should be followed up at regular intervals for the development of either of these complications. © 1990, American Medical Association. All rights reserved.