Ocular melanocytosis and secondary glaucoma in a child

Logandran Vijaya Kumar, Vivian Gong Hee Ming


Glaucoma at young age is an unusual presentation of congenital ocular melanocytosis. We report a young patient with a unilateral splinter disc hemorrhage, mild asymmetric optic nerve cupping, and increased intraocular pressures, suggestive of glaucoma, associated with bilateral ocular melanocytosis. While glaucoma and/or increased intraocular pressures have been reported in oculodermal melanocytosis in the adult population, there are only rare reports of congenital ocular melanocytosis associated with secondary glaucoma in a child. Glaucoma is believed to result from melanocytic involvement of the anterior chamber angle and trabecular meshwork with resultant obstruction of outflow. 

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DOI: http://dx.doi.org/10.16964/er.v3i1.63


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