What is the most fundamental key in determining if anterior segment pigmentation warrants further investigation? Location! Location! Location! Why?
- Remember, there are certain parts of the anterior segment where pigmentation typically does not occur. If you see changes in these areas, the presentation is likely a more serious one.
- Where to look? The palpebral conjunctiva is the place to start! If you see significant pigmentation on the upper tarsal plate or inferior fornix, be sure to refer to a surgeon! The upper tarsal plate and inferior fornices are ATYPICAL for pigmentation and are an indication for melanoma.
- Melanomas have a mortality rate of 28%, so early identification and intervention are essential!