Ocular Nevi (Eye Freckles)
Pigmented spots on the conjunctiva, iris, or choroid. Most are benign, but require documented follow-up over time.
What Are Ocular Nevi?
Just like freckles or moles on the skin, the eyes can develop nevi—benign clusters of pigment-producing cells (melanocytes). They can appear on the conjunctiva (white surface of the eye), the iris (colored part), or the choroid, the vascular layer beneath the retina.
A choroidal nevus is found in roughly 5% to 10% of adults, almost always during a routine dilated eye exam, since it rarely causes symptoms.
Why Follow-Up Matters
The vast majority of choroidal nevi remain stable throughout life. However, a small fraction can transform into choroidal melanoma. Periodic monitoring allows early detection of any change in thickness, subretinal fluid, or orange pigment.
How Monitoring Is Performed
- •Color fundus photography (retinography) to document basal diameter and borders.
- •OCT to evaluate lesion thickness and detect subtle subretinal fluid.
- •Fundus autofluorescence and ocular ultrasound when indicated.
This condition is part of the Retina & Intravitreal Injections specialty.
Frequently Asked Questions
I was told I have a choroidal nevus. Should I be worried?
In the vast majority of cases, no. The most important step is having the nevus properly documented with imaging and keeping regular follow-up visits.
Does an ocular nevus need to be surgically removed?
Stable choroidal nevi are not removed. Management only changes if periodic exams show signs of growth or transformation.