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Congenital ocular melanocytosis is a rare anomaly that requires regular follow-up, since it carries an increased risk of glaucoma and uveal malignant melanoma. Idiopathic intracranial hypertension (IIH) has several identifiable risk factors in children. We report a previously unrecognised association between the two conditions in a child.
A 5-year-old Caucasian girl was under regular follow-up for left congenital ocular melanocytosis since 1 year of age. The left eye showed iris hyperchromia, patches of grey subconjunctival pigmentation on the bulbar conjunctiva and choroidal hyperpigmentation (fig 1A).
She had mild left anisometropic amblyopia that improved with patching and refractive error correction. Intraocular pressures (IOP) and optic discs were normal. She was healthy and …