Potential utility of dermoscopy in the examination of ocular pigmentations

Background: Dermoscopy is a fundamental method in the examination of melanocytic neoplasms. Limited data exist about the dermoscopic features of ocular pigmentations (OPs). Objectives: We aimed to investigate the usefulness of dermoscopy in the examination of OPs. Methods: Dermoscopic images...

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Autores principales:	Nida Kaçar, Cem Yıldırım, Neşe Demirkan, Yunus Bulgu
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2018
Materias:	dermoscopy ocular pigmentation impression cytology melanoma melanocytic lesion Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/13bf52308f194c2ca264c81e106a1900
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spelling	oai:doaj.org-article:13bf52308f194c2ca264c81e106a19002021-11-17T08:30:01ZPotential utility of dermoscopy in the examination of ocular pigmentations2160-9381https://doaj.org/article/13bf52308f194c2ca264c81e106a19002018-07-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/476https://doaj.org/toc/2160-9381 Background: Dermoscopy is a fundamental method in the examination of melanocytic neoplasms. Limited data exist about the dermoscopic features of ocular pigmentations (OPs). Objectives: We aimed to investigate the usefulness of dermoscopy in the examination of OPs. Methods: Dermoscopic images of OPs of 20 consecutive patients were recorded. Impression cytology (IC) was performed to these lesions. Dermoscopic images were evaluated for specific dermoscopic structures and patterns without knowing the cytological examination results. Results: Fifteen percent (3/20) of the lesions presented with suspicious cytological findings. More of the suspicious lesions had 4 colors compared to benign lesions (66.7% vs 11.8%, p=0.088). This was also determined for blue-gray (66.7% vs 11.8%, p=0.088) and white (66.7% vs 17.7%, p=0.14) colors. At least 3 structures were observed in all suspicious lesions (100%), but were observed in only in 41.2% of benign lesions (p=0.105). Besides, two-thirds of suspicious lesions had more than 4 structures, but none of the benign lesions reported this (p=0.016). Most of the benign lesions showed asymmetry in one axis (93.3%), whereas all suspicious lesions showed asymmetry in 2 axes (p=0.004). Conclusions: Dermoscopy seems to be a useful method in the evaluation of OPs. The existence of dermoscopic patterns, colors, and dermoscopic structure plurality and asymmetry raise suspicion in OPs, similarly to skin pigmentations. Dermatologists should be aware of the ocular area, and closer collaboration should be developed between dermatologists and ophthalmologists in the management of pigmented lesions. Nida KaçarCem YıldırımNeşe DemirkanYunus BulguMattioli1885articledermoscopyocular pigmentationimpression cytologymelanomamelanocytic lesionDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 8, Iss 3 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy ocular pigmentation impression cytology melanoma melanocytic lesion Dermatology RL1-803
spellingShingle	dermoscopy ocular pigmentation impression cytology melanoma melanocytic lesion Dermatology RL1-803 Nida Kaçar Cem Yıldırım Neşe Demirkan Yunus Bulgu Potential utility of dermoscopy in the examination of ocular pigmentations
description	Background: Dermoscopy is a fundamental method in the examination of melanocytic neoplasms. Limited data exist about the dermoscopic features of ocular pigmentations (OPs). Objectives: We aimed to investigate the usefulness of dermoscopy in the examination of OPs. Methods: Dermoscopic images of OPs of 20 consecutive patients were recorded. Impression cytology (IC) was performed to these lesions. Dermoscopic images were evaluated for specific dermoscopic structures and patterns without knowing the cytological examination results. Results: Fifteen percent (3/20) of the lesions presented with suspicious cytological findings. More of the suspicious lesions had 4 colors compared to benign lesions (66.7% vs 11.8%, p=0.088). This was also determined for blue-gray (66.7% vs 11.8%, p=0.088) and white (66.7% vs 17.7%, p=0.14) colors. At least 3 structures were observed in all suspicious lesions (100%), but were observed in only in 41.2% of benign lesions (p=0.105). Besides, two-thirds of suspicious lesions had more than 4 structures, but none of the benign lesions reported this (p=0.016). Most of the benign lesions showed asymmetry in one axis (93.3%), whereas all suspicious lesions showed asymmetry in 2 axes (p=0.004). Conclusions: Dermoscopy seems to be a useful method in the evaluation of OPs. The existence of dermoscopic patterns, colors, and dermoscopic structure plurality and asymmetry raise suspicion in OPs, similarly to skin pigmentations. Dermatologists should be aware of the ocular area, and closer collaboration should be developed between dermatologists and ophthalmologists in the management of pigmented lesions.
format	article
author	Nida Kaçar Cem Yıldırım Neşe Demirkan Yunus Bulgu
author_facet	Nida Kaçar Cem Yıldırım Neşe Demirkan Yunus Bulgu
author_sort	Nida Kaçar
title	Potential utility of dermoscopy in the examination of ocular pigmentations
title_short	Potential utility of dermoscopy in the examination of ocular pigmentations
title_full	Potential utility of dermoscopy in the examination of ocular pigmentations
title_fullStr	Potential utility of dermoscopy in the examination of ocular pigmentations
title_full_unstemmed	Potential utility of dermoscopy in the examination of ocular pigmentations
title_sort	potential utility of dermoscopy in the examination of ocular pigmentations
publisher	Mattioli1885
publishDate	2018
url	https://doaj.org/article/13bf52308f194c2ca264c81e106a1900
work_keys_str_mv	AT nidakacar potentialutilityofdermoscopyintheexaminationofocularpigmentations AT cemyıldırım potentialutilityofdermoscopyintheexaminationofocularpigmentations AT nesedemirkan potentialutilityofdermoscopyintheexaminationofocularpigmentations AT yunusbulgu potentialutilityofdermoscopyintheexaminationofocularpigmentations
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Potential utility of dermoscopy in the examination of ocular pigmentations

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