Diagnosis: (A) Congenital melanocytic nevus, (B) Junctional, (C) Nevus of Ito, (D) Nevus of Ota
Answer is D. The image is suggestive of "Nevus of Ota" which is a dermal melanocytic nevus seen in maxillary and ophthalmic nerve distribution.
It is usually unilateral and often associated with blue sclera and conjuctiva.