Band Keratopathy and Cataract in a Child with Nevus Comedonicus Syndrome

Abstract

Background : Band keratopathy is characterized by a horizontal band of grey opacification on the surface of the cornea. Nevus comedonicus is a rare epidermal nevus that has been reported with ipsilateral cataract and corneal changes.

Case report: A 14-year-old boy presented with bilateral blurry vision and recurrent red eyes. He had a history of skin dryness and scarring on his face. On examination, greyish-white opacifications were observed in both corneas. The patient was suspected of having Juvenile Idiopathic Arthritis at first, but as the systemic condition was not related to the condition, the patient then consulted to Dermato Venereology to work out the skin disorder. It turns out that the eye condition is related to Nevus Comedonicus Syndrome. The patient then underwent corneal chelation using EDTA.

Conclusion : Chemical chelation using EDTA in band keratopathy patients with Nevus Comedonicus syndrome is useful for enhancing corneal clarity.