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Concurrence of peripunctal nevus and uveal melanoma with scleral pigment dispersion presenting as phthisis bulbi
  1. Neha Ghose1,
  2. Vijitha S Vempuluru1,
  3. Saumya Jakati2 and
  4. Swathi Kaliki1
  1. 1Ocular Oncology, The Operation Eyesight Univeraal Institute for Eye Cancer, LV Prasad Eye Institute, Hyderabad, Telangana, India
  2. 2Ophthalmic Pathology Services, LV Prasad Eye Institute, Hyderabad, Telangana, India
  1. Correspondence to Dr Swathi Kaliki; kalikiswathi{at}


This case report demostrates an unusual occurence of peripunctal nevus and uveal melanoma, in which the clinical diganosis of uveal melanoma was masked by the atypical presentation as phthisis bulbi. Nevertheless, peculiar scleral pigment hinted at a possible intraocular tumour. The importance of meticulous clinical examination in assessment of ocular and periocular pigmented lesions is demonstrated. Further, clinicopathological differentials of correlation scleral pigmentation in diffuse necrotic uveal melanoma are illustrated.

  • eye
  • head and neck cancer
  • iris
  • retina

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  • Contributors NG and VSV are responsible for collection of data and drafting the manuscript. SK and SJ are responsible for managing the patient, formulation and editing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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