About Pigmentary Lesion Concerns
Abnormal pigment can occur on the eyelid skin, on the surface of the eye itself, or inside the eye. These pigmentary lesions may present acutely but, more commonly, are chronic in nature. They can be benign or malignant and, when noticed, should be examined by the appropriate eye specialists.
Both Dr Hollenbach and Dr Gittos are specialists in the area of pigmentary lesions of the eyelid, and Dr Gittos additionally has sub-specialty training in the diagnosis and treatment of pigmentary lesions of the eye itself.
Pigmentary Lesions of the Eyelid
Pigmentary lesions of the eyelid can range from benign freckles and moles to malignant melanomas. Any new, changing, or irregularly pigmented lesion should be assessed promptly to exclude skin cancer, such as basal cell carcinoma, squamous cell carcinoma, or melanoma. Early diagnosis allows for optimal treatment and preservation of eyelid function and appearance.
Pigmentary Lesions of the Ocular Surface
Pigmentary changes on the ocular surface (including the conjunctiva and cornea) may be benign, such as conjunctival naevi, or potentially malignant, such as primary acquired melanosis with atypia or conjunctival melanoma. Careful examination and, in some cases, biopsy are essential for diagnosis, as early detection significantly improves management outcomes.
Pigmentary Lesions of the Iris
Iris pigmentation can be due to benign iris naevi or more serious conditions, including iris melanoma. Suspicious features include growth, vascularity, or distortion of the pupil. Regular monitoring with slit-lamp photography is often recommended, and in some cases, surgical intervention may be required to prevent spread and preserve vision.
Pigmentary Lesions of the Choroid
The choroid, located beneath the retina, can develop pigmented lesions such as choroidal naevi or malignant choroidal melanoma. While naevi are common and usually benign, melanoma is the most common primary intraocular malignancy in adults. Diagnosis involves detailed retinal imaging, and treatment may include radiotherapy, laser therapy, or surgery, depending on the size and location of the lesion.
Clinical Disclaimer
The information provided on this page is for general educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Every individual’s condition is unique, and the details presented here may not apply to your personal situation. Always consult with a qualified healthcare provider regarding any questions or concerns you have about your health or treatment options. Reliance on this information is solely at your own risk.