Is That Black Spot on Your Lower Eyelid a Cause for Concern?

There is a small area of pigmentation on the lower eyelid of the right eye?

Hello Doctor: Today I suddenly noticed a small spot of pigmentation on the lower eyelid of my right eye (as shown in the picture) https://photos.app.goo.gl/AL2czVbwBcmgb34F9.
The location is around the lower eyelid and on the inner side, and it can be seen without having to flip the eyelid.
There is no discomfort.
At first, I thought it was just dirt.
Should I see a doctor about this, or will it resolve on its own? I am quite sure this has developed in the last couple of days because I had a stye in my left eye the Friday before last, and I frequently checked my eyes in the mirror.
There was no sign of this pigmentation last week.
Thank you.

Liao Xiansheng, 30~39 year old female. Ask Date: 2020/02/11

Dr. Cai Wenyuan reply Ophthalmology

I'm sorry, but I recommend seeking medical evaluation.

Reply Date: 2020/02/11

More Info

The appearance of a small black spot on your lower eyelid can be concerning, and it’s important to approach this situation with caution. Based on your description, it seems that this spot developed recently and is located on the inner and surrounding area of the lower eyelid. While it may not be causing any discomfort, it’s essential to consider several factors before determining whether medical attention is necessary.

Firstly, the black spot could be a benign condition such as a freckle, a mole, or a seborrheic keratosis. These types of skin lesions are generally harmless and can appear due to sun exposure or genetic predisposition. However, the sudden appearance of a new spot, especially if it has changed in color, size, or shape, warrants further investigation.
Another possibility is that the black spot could be related to a condition known as a "pterygium" or "pinguecula," which are growths on the conjunctiva (the clear tissue covering the white part of the eye) that can sometimes extend onto the eyelid. These growths are often associated with sun exposure and can appear yellowish or brownish.
In some cases, the black spot could be a sign of a more serious condition, such as a melanoma, which is a type of skin cancer that can occur on the eyelids. Melanomas can sometimes present as dark spots that may not exhibit any symptoms initially. Therefore, it is crucial to monitor the spot for any changes over time.

Given that you mentioned a recent history of a stye (chalazion) in your left eye, it’s also possible that the black spot could be related to that condition. Styes can sometimes lead to pigmentation changes in the surrounding skin as they heal.

In conclusion, while the black spot on your lower eyelid may not be causing any immediate issues, it is advisable to consult with an ophthalmologist or a dermatologist for a thorough examination. They can assess the spot visually and may perform a biopsy if necessary to rule out any serious conditions. Early detection is key in managing any potential issues, especially when it comes to changes in the skin around the eyes.
In the meantime, avoid touching or picking at the spot, and protect your eyes from excessive sun exposure by wearing sunglasses. Keeping an eye on any changes in the spot's appearance or any new symptoms that may arise is also essential. If you notice any swelling, pain, or changes in vision, seek medical attention promptly.

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