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conferenceseries.com
Ophthalmology 2016
November 21-23, 2016
November 21-23, 2016 Dubai, UAE
10th International Conference on
Clinical & Experimental Ophthalmology
Volume 7 Issue 9 (Suppl) J Clin Exp Ophthalmol
ISSN: 2155-9570 JCEO, an open access journal
Rakan M Algorinees et al., J Clin Exp Ophthalmol 2016, 7:9(Suppl)
Kissing nevus with ocular melanosis: A case report in Hail region, Saudi Arabia
Rakan M Algorinees, Ibrahim G Alresidi, Reem S Alshammari and Jluwi S Al-Masaud
Hail University, KSA
Introduction: Kissing nevus (also known as congenital melanosis bulbi or nevus fusco-ceruleus ophthamo-maxillaris) is a congenital
nevus that affects parts of the upper and lower eyelid and owing to its name, because when the eyelids during closure approach and
touch (kiss) each other. The entire eye as conjunctiva, sclera, cornea, retina and optic disc could be involved in this disease. The
malignant transformation was described in many cases especially in oral, uveal and leptomeningeal melanosis. Unilateral presentation
is classically seen in most cases. It is very frequent in Japanese descent and rarely in others descents. This is the first report in northern
region of Saudi Arabia.
Case report: A 3 months old boy presented to the ophthalmology clinic in King Khalid Hospital, Hail, Saudi Arabia with a black
discoloration of the left eyelids since birth, his family and medical histories were unremarkable. An Ophthalmic examination, the
patient is fixing and following the objects normally, pupils equal, round and reactive to light and accommodation, intraocular pressure
is 14 mmHg on both eyes. On inspection, the left eye showed dark pigmentation covering the lateral third of left upper and lower
lids, along with dark scleral pigmentation. The iris is normal in both eyes. Dilated fundus examination showed dark choroid in left
eye. The cycloplegic refraction is not significant bilaterally. The patient is given follow up every 6 months for possible complication.
Result & Discussion: Ota nevus is a rare nevus fusco-caeruleus ophthalmo-maxillaris, mostly it is a benign unilateral melanocytosis,
80% of the patients were females 5 years of age and 48% of patients developed a nevus of Ota at or after birth compared to 11%
between 1 and 10 years of age and 36% at puberty. In our patient who is 3 months old, came with unilateral black discoloration of
upper and lower eyelids, the sclera discoloration and dark choroid. On fundoscopic examination furthermore the vision and ocular
function was intact.
Conclusion: To our knowledge it is the first report in Northern Region in Saudi Arabia, which highlights the attention of this rare
disease in our area. We recommend lifelong follow up (every 6 moths) of diagnosed cases of Ota nevus to catch any melanoma
changes or development of glaucoma.
Biography
Rakan M Algorinees is a Medical Intern graduated from College of Medicine, Hail University in Saudi Arabia in June, 2016. He is very much interested in the
research field regarding ophthalmology specialty. Currently, he is working on a research paper about a prevalence of myopia among medical students in Hail
region, Saudi Arabia.