Oculodermal melanocytosis (nevus of Ota)

Hordeolum
SYMPTOMS No symtoms
SIGNS Episcleral blue-gray pigmentation (not conjunctival) | Ipsilateral skin may also be pigmented.
WORK-UP Thorough history. Slit lamp examination
TREATMENT Observation | Annual eye exams to assess glaucoma and melanoma risk.
FOLLOW-UP Frequent follow-ups are not required with no other ocular concerns.
ADDITIONAL LAB | TESTS None
ETIOLOGY Unknown cause, usually congenital
DIFFERENTIAL DX Ocular melanosis | Nevus of Ito | Nevus of Hori
NOTES Patients with nevus of Ota display a higher risk of glaucoma and melanoma.

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