A Child With Pigmentation of the Eye

Kevin L. Shen; Kimberly G. Yen, MD


October 10, 2017

Case Diagnosis

The gray-blue hyperpigmentation of this patient's periocular skin and the eye itself is consistent with a diagnosis of nevus of Ota, also known as oculodermal melanocytosis.

Scleromelanocytosis would feature an identical appearance of the eye but would not have the periocular skin findings.

Racial melanosis may demonstrate similar ocular features but would not have the periocular skin findings.

Nevus of Ito is a condition closely related to nevus of Ota, but it usually affects the shoulder area.

Scleromalacia, a condition characterized by thinning of the sclera, can present with what appears to be blue pigmentation of the eye. Areas of scleromalacia tend to have an elevated appearance. The blue pigmentation is the uvea showing through the thinned sclera.

Clinical Course

The child will continue to be followed in the eye clinic. A dermatology evaluation was recommended to discuss the skin pigmentation.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.