Pigmented conjunctival lesions in ochronosis
Dec 9, 2019
Volume 25, Number 4
Ali Osman Saatci, MD | Department of Ophthalmology, Dokuz Eylul University, İzmir, Turkey
Tuba Yüce İnel, MD | Department of Rheumatology, Internal Medicine, Dokuz Eylul University, İzmir, TurkeyŞefik Can İpek, MD
| Department of Ophthalmology, Dokuz Eylul University, İzmir,Turkey
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A 45-year-old man was diagnosed to have alkaptonuria after his orthopedist observed joint discoloration during knee arthroplasty. He was referred to Dokuz Eylul University, Department of Ophthalmology, for evaluation. On examination, his visual acuity was 20/20 in each eye. Slit-lamp examination revealed brownish pigmented lesions in both the nasal and temporal aspects of the sclera in the interpalpebral region (Osler’s sign) bilaterally. Fundus examination was unremarkable in both eyes.