Brown’y points for guessing!- A case report of an unusual pigmented corneal plaque.
A 54-year-old female presented with complaints of blurring in the right eye since 2 years. A grade 3 nuclear sclerosis and a peculiar band-shaped subepithelial brown corneal patch, within the inter-palpebral area was noted. The overlying epithelium was scraped for smears and cultures which came back negative. The patient underwent uneventful cataract surgery, but returned 2 weeks later with complaints of watering and grittiness. Surprisingly a dendritic ulcer was noted within the pigmented patch, which responded to topical antivirals and tear substitutes. History of a similar episode, 3 years back was elicited upon questioning the patient.
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