Nita Shanbhag, Rachana Dabhade, Anjana Khokhani, Manish Sharma, Sumita Karandikar
A 30 year old female patient came with redness, pain and watering in her left eye since five days. Past history included sudden loss of vision in right eye two years back following birth of a stillborn baby due to preeclampsia. On examination she had hyperpigmentation of the face and neck. Both the eyes showed patchy hyperpigmentation all around the limbus. Right eye showed 10 degrees of exotropia with afferent pupillary defect. Intraocular pressure was raised to 29 mm of Hg. The Right disc C/D ratio was 0.7 with pallor. The left eye showed signs & symptoms suggestive of acute iridocyclitis with normal IOP. Left visual acuity had dropped to 20/60. Further investigation confirmed the patient had generalised non inflammatory scleral thinning on UBM and associated conductive hearing loss. This is therefore an unusual case of Nevus of ota/Ito.
