Brown’y points for guessing!- A case report of an unusual pigmented corneal plaque.

Abstract

A 54-year-old female presented with complaints of blurring in the right eye since 2 years. A grade 3nuclear 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 cameback negative. The patient underwent uneventful cataract surgery, but returned 2 weeks later withcomplaints of watering and grittiness. Surprisingly a dendritic ulcer was noted within the pigmentedpatch, which responded to topical antivirals and tear substitutes. History of a similar episode, 3years back was elicited upon questioning the patient.