Two thousand nine hundred fourteen Chinese children (1510 males and 1404 fe
males) were examined for the presence of scleral melanocytosis (SM) and ocu
lodermal melanocytosis in a cross-sectional prevalence survey SM was found
in 4.9% of boys and 4.1% of girls under the age of 1 year. The peak prevale
nce was at 6 years of age, when 44.6% of boys and 46.6% of girls were affec
ted. At 18 years of age, only 11.1% of boys and 13.2% of girls had SM. The
overall prevalence, regardless of age, was 27.6% in boys and 27.1% in girls
. The condition was bilateral in 78% of cases, The medial superior quadrant
was the most frequently affected site, and the lateral inferior quadrant w
as the least frequently affected site. Oculodermal melanocytosis occurred o
nly in one patient; the pigmentation affected the left side of the face and
the ipsilateral sclera.