Purpose: To describe the features of atypical pigment dispersion in a child.
Design: Observational case report.
Methods: Retrospective chart review.
Results: An 8-year-old boy presented with midperipheral iris transillumination defects, iris backbowing, heavy pigmentation of the trabecular meshwork, and elevated intraocular pressure. He also had several atypical features including emmetropia, mild posterior subcapsular cataract, small pupils, and peripheral anterior synechiae.
Conclusion: Pigment dispersion in childhood is unusual and may have different features from those classically described in adults.