title: A Novel Surgical Approach for Oculodermal Melanocytosis: Superficial Sclerectomy.
abstract: OBJECTIVE
  To report the outcomes of a new surgical method for oculodermal melanocytosis (nevus of Ota)-superficial scleral separation.
  
  
  METHODS
  Twenty-five eyes of 25 patients with scleral pigmentation arising from oculodermal melanocysis. These patients underwent superficial scleral separation between March 2012 and February 2013. Each patient was evaluated with the followings: ocular examinations, the preoperative extent of scleral involvement of nevus of Ota, satisfaction score after surgery, histologic examination, and postoperative complications. Main outcome measures were best-corrected visual acuity (BCVA), induced refractive error, intraocular pressure (IOP), patient satisfaction scores, and anterior segment photographs.
  
  
  RESULTS
  All patients showed cosmetic improvement without any serious complications. Preoperative and postoperative BCVA, IOP, and refractive outcomes did not change significantly.
  
  
  CONCLUSIONS
  Superficial scleral separation is an effective procedure for cosmetic improvement of oculodermal melanocytosis.
authors.affiliation: Department of Ophthalmology (S.J., J.W.K.), Myongji Hospital, Seonam University College of Medicine, Goyang, Korea; Department of Pathology (T.K.), Myongji Hospital, Seonam University College of Medicine, Goyang, Korea; and Department of Ophthalmology and Visual Sciences (C.C.Z., R.S.C., J.W.K.), Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY.
authors.forename: Seungil
authors.initials: S
authors.lastname: Jung
authors.forename: Taejung
authors.initials: T
authors.lastname: Kwon
authors.forename: Cheng C
authors.initials: CC
authors.lastname: Zhang
authors.forename: Roy S
authors.initials: RS
authors.lastname: Chuck
authors.forename: Ji Won
authors.initials: JW
authors.lastname: Kwon
mesh_terms: D000293:Adolescent; D000328:Adult; D005134:Eye Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D009507:Nevus of Ota / Q000601:surgery*; D012030:Refractive Errors / Q000503:physiopathology; D012590:Sclera / Q000601:surgery*; D012599:Sclerostomy / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D011795:Surveys and Questionnaires; D014792:Visual Acuity / Q000502:physiology