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Updated: Jun 23, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
[Post-traumatic striate melanokeratosis in a Caucasian woman]
A Boto-de-Los-Bueis1, D Díaz-Valle, S Llorente-González
1Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, España. botobueis@telefonica.net
Clinical Case:
A fair-skinned woman presented marked striate melanokeratosis in her left eye related to recurrent corneal erosion. The source of pigmentation was a conjunctival melanosis. The conjunctival melanosis responded to treatment with topical mitomycin, while the corneal pigmentation persisted.
Discussion:
Striate melanokeratosis is a condition described in dark-skinned patients who show a well-defined pigmentation of the limbal area, with only one case of striate melanokeratosis reported previously in a Caucasian person. The stimuli for this proliferation are corneal lesions or melanosis close to the limbus. Avoiding both stimuli are the main steps in its management.
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