case_images: PMC11785537_01
case_images: Multiple pigmented regions at presentation . A: Cutaneous bluish-black pigmentation on the left side of the face compared to the right side; B: Pigmentation of the left ala of nose and malar region of the face; C: Pigmentation of the left upper eyelid
case_images: cureus-0017-00000078311-i01.jpg
case_images: PMC11785537_01_cureus-0017-00000078311-i01.jpg
case_images: FIG1
case_images: On cutaneous examination, there were multiple mottled bluish-black macular pigmented regions involving the left malar region, left upper eyelid, left ala of the nose, and the inferonasal sclera of the left eye (Figure 1).
case_images: Pigmentation of the left inferonasal part of the sclera with heterochromia iridum . A: Pigmentation of the left inferonasal aspect of sclera; B: Left Inferonasal pigmentation; C: Left heterochromia iridum
case_images: cureus-0017-00000078311-i02.jpg
case_images: PMC11785537_01_cureus-0017-00000078311-i02.jpg
case_images: FIG2
case_images: Anterior segment examination showed left pigment dispersion, left inferonasal pigmentation of the sclera, and left iridum heterochromia secondary to a hyperpigmented iris (Figure 2).
case_images: Mosaic of the retina in right and left eyes . A: Mosaic of right eye with no abnormalities detected; B: Mosaic of left eye with no abnormalities detected
case_images: cureus-0017-00000078311-i03.jpg
case_images: PMC11785537_01_cureus-0017-00000078311-i03.jpg
case_images: FIG3
case_images: Fundus and mosaic imaging showed no abnormalities (Figure 3).
case_images: Anterior segment OCT of the angles . A: OCT angles of right eye with red circles indicating the angles; B: OCT angles of left eye with red circles indicating the angles . OCT, optical coherence tomography
case_images: cureus-0017-00000078311-i04.jpg
case_images: PMC11785537_01_cureus-0017-00000078311-i04.jpg
case_images: FIG4