Melanoqueratosis estriada postraumática en mujer de raza blanca

espanolCaso clinico: Se presenta el caso de una mujer de raza blanca y piel clara, con erosion corneal recurrente y con melanosis conjuntival en OI, que desarrollo una opacidad corneal por melanoqueratosis estriada. La melanosis conjuntival se trato con mitomicina topica, manteniendo la pigmentacion corneal. Discusion: La melanoqueratosis estriada se presenta en personas de piel oscura, con un unico caso descrito en personas de raza caucasica. Esta se origina por dano corneal o por migracion de pigmento desde melanosis conjuntivales, debiendo tratar ambas condiciones para detener la pigmentacion corneal. EnglishClinical case: A fair-skinned woman presented marked striate melanokeratosis in her left eye related to recurrent corneal erosion. The source of pigmentation was a conjunctival melanosis. The conjunctival melanosis responded to treatment with topical mitomycin, while the corneal pigmentation persisted. Discussion: Striate melanokeratosis is a condition described in dark-skinned patients who show a well-defined pigmentation of the limbal area, with only one case of striate melanokeratosis reported previously in a Caucasian person. The stimuli for this proliferation are corneal lesions or melanosis close to the limbus. Avoiding both stimuli are the main steps in its management.