Ocular melanocytosis and secondary glaucoma in a child

Abstract

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.