Why do I have a brown spot on my eye?

Conjunctival nevus is the most common cause of brown spots in the eye (eye freckles). Conjunctival melanoma is a non-cancerous growth composed of multiple nevi or nevi clusters that appear as brown spots in the eye's conjunctiva and iris. Eye freckles are a common condition that can be caused by a variety of factors.
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Is brown spot on eye normal?

Brown spots on the eyes are abnormal growths on the eye usually caused by nevi or ocular melanoma. Brown spots on the eye are caused by a clumping of pigment cells, similar to how freckles or moles form on the skin. Some people are born with these spots. Other people develop them as they age.
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What causes brown spot on white part of eye?

The brown lesion you see on the sclera (the white part of the eye) is called Primary Acquired Melanosis of the conjunctiva (PAM). This is a potentially dangerous melanocytic lesion that can lead to melanoma of the eye. Most patients have no symptoms, but may notice the cosmetic changes on the surface of the eye.
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How do you get rid of brown spots in your eyes?

How Do You Get Rid of Brown Spots in Your Eyes? There are medicated drops available that may lighten your brown spots, as well as laser therapy that can rid your spots. If you develop any new spots on your eye or questionable color changes of your sclera, ask your doctor to take a look.
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What causes brown spots on iris of eye?

They're made by special cells called melanocytes, which give your skin and your eyes their color. Those cells are usually spread out, but if enough of them clump together, they form a nevus. The other type of eye freckles are called iris freckles. These are tiny flecks in the colored part of your eye.
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I have discoloration on the whites of my eyes, should I be worried? - Ask an Ophthalmologist



Do iris freckles go away?

Other Symptoms That May Accompany an Eye Freckle

In the case of conjunctival nevi, no other symptoms usually appear other than the visible freckle on the white part of the eye. They are mostly stable over time, but their color may change, particularly during pregnancy or puberty.
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What do spots in iris mean?

Iris freckles are tiny, dark brown flecks on the surface of the colored part of the eye (iris). Like skin freckles, they are caused by a buildup of melanin pigment. They are harmless and usually do not develop into melanoma. Iris nevi. Like iris freckles, iris nevi are dark spots on the colored iris.
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How common is melanoma in the eye?

Ocular melanoma is the most common primary cancer affecting the eye. However, it is a rare disorder and is estimated to be diagnosed in about 2,500 people in the United States each year. The incidence is unknown, but one estimate places it at about 5-6 people per every 1,000,000 people in the general population.
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Do brown spots on eyes go away?

While most patients will be left with a spot(s) on their eye permanently, some brown spots may dissipate on their own. Should the spots grow in size or become painful, it is time to have your eye doctor remove them. Removal is usually done with a laser, although there are other surgical methods available.
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Can you get rid of eye freckles?

Eye freckle removal surgery

Yes, you can. At AEI, we remove Conjunctival Nevi for 2 common reasons: a suspicious appearance, or if they appear cosmetically undesirable to the patient. If melanoma is suspected, your eye doctor will recommend an excisional biopsy, in other words removing the pigmented lesion surgically.
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Can eye melanoma be cured?

These rare cancers can be treated with either surgical removal of the tumor, if it is small enough, or radiation therapy. In more advanced cases or if there is serious eye damage, enucleation (removal of the eyeball) may be needed.
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What does the early stage of melanoma look like?

What to look for: Usually, the most obvious warning signs of early stage melanoma are changes to your moles or spots: in size, shape, colour or in how they look or how they feel. Melanoma can also appear as a new mole (more commonly in people aged 50 years or more)2.
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Is eye melanoma fatal?

Called "OM" for short, ocular melanoma is a malignant tumor that can grow and spread to other parts of the body - this process, known as metastasis, is often fatal and occurs in about half of all cases.
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How rare is it to have a freckle in your eye?

When the eye freckle is on the iris (the colored part of the eye), it's called an iris nevus. Approximately 6 in 10 people have one.
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What are the symptoms of a tumor in the eye?

Symptoms of eye cancer
  • shadows, flashes of light, or wiggly lines in your vision.
  • blurred vision.
  • a dark patch in your eye that's getting bigger.
  • partial or total loss of vision.
  • bulging of 1 eye.
  • a lump on your eyelid or in your eye that's increasing in size.
  • pain in or around your eye, although this is rare.
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What causes iris freckles?

Where do eye freckles come from? Often nevi (especially iris nevi) result from sun exposure, just like freckles do for some people. You may be at risk if you have a light complexion and light-colored eyes (blue or green). Babies might be born with conjunctival nevi, or this type might also form during childhood.
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What does a nevus look like?

A common mole (nevus) is a small growth on the skin that is usually pink, tan, or brown and has a distinct edge. A dysplastic nevus is often large and does not have a round or oval shape or a distinct edge. It may have a mixture of pink, tan, or brown shades.
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Are eye freckles genetic?

Eye Freckles and Their Causes

Eye freckles can be caused by genetic traits or sun exposure. You can be born with eye freckles or develop them later in life. There are actually several kinds of eye freckles, and proper examination by a professional eye doctor ensures proper diagnosis and treatment planning.
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What does conjunctival melanoma look like?

Conjunctival melanoma commonly presents as a thickened, raised, pigmented lesion with prominent feeder vessels and surrounding areas of melanosis (Figures 1A-1D). It is usually unilateral and presents in adulthood [25].
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Is ocular melanoma a death sentence?

Choroidal melanoma is a disease with a high mortality rate, usually irrespective of the chosen treatment modality. About 30-50% of patients with choroidal melanoma will die within 10 years from diagnosis and treatment. Death is usually secondary to distant metastases, and the risk is greatest in larger tumors.
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How can you tell if a spot is melanoma?

The most important warning sign of melanoma is a new spot on the skin or a spot that is changing in size, shape, or color. Another important sign is a spot that looks different from all of the other spots on your skin (known as the ugly duckling sign).
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Do you feel ill with melanoma?

General symptoms

hard or swollen lymph nodes. hard lump on your skin. unexplained pain. feeling very tired or unwell.
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When should you get a freckle checked?

A mole or freckle should be checked if it has a diameter of more than a pencil eraser or any characteristics of the ABCDEs of melanoma (see below). Dysplastic nevi are moles that are generally larger than average (larger than a pencil eraser) and irregular in shape.
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How long does it take for ocular melanoma to spread?

Approximately 50% of ocular melanoma patients will develop metastatic disease within 15 years of the original diagnosis, and currently there is no cure for metastatic OM.
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