Concerns About Black Spots on Baby's Eye: When to Seek Medical Advice

At one and a half years old, the baby has black or gray spots on the sclera (the white part of the eye)?

Doctor, my daughter developed a small black-gray spot on the inner white part of her right eye when she was about one and a half years old.
It wasn't present at birth, and I'm a bit worried.
Should this be examined further?

Vivian, 0~9 year old female. Ask Date: 2015/02/02

Dr. He Jianxian reply Ophthalmology

It is recommended that you visit an ophthalmology clinic near your home for an examination.
Standard ophthalmology clinics are equipped with magnifying devices, as the eyeball is a very small organ, making it difficult to assess any issues without the assistance of magnification equipment.

Reply Date: 2015/02/02

More Info

When it comes to concerns about black spots on a child's eye, especially in a young child like your daughter, it is essential to approach the situation with caution and seek professional medical advice. Here’s a comprehensive overview of what you should consider regarding this issue.

Firstly, the appearance of a black or gray spot on the sclera (the white part of the eye) can be caused by various factors. Some common causes include:
1. Nevus (Mole): Just like skin moles, the eye can also develop pigmented lesions known as nevi. These are usually benign and may not require treatment unless they change in size, shape, or color.

2. Pterygium or Pinguecula: These are growths on the conjunctiva (the clear tissue covering the white part of the eye) that can appear as yellowish or grayish spots. They are often associated with sun exposure and can be monitored unless they cause discomfort or vision problems.

3. Vascular Lesions: Sometimes, small blood vessels can become more prominent or form lesions that may appear as dark spots. These can be benign but should be evaluated by a professional.

4. Injury or Trauma: If your daughter has had any recent injuries to the eye, it could lead to the appearance of spots due to bleeding or bruising.

5. Infection or Inflammation: Conditions such as conjunctivitis can lead to changes in the appearance of the eye, including spots or discoloration.

Given that this spot has appeared recently and was not present at birth, it is advisable to have it evaluated by a pediatric ophthalmologist. Early assessment is crucial because while many conditions are benign, some may require monitoring or treatment to prevent complications.

When to Seek Medical Advice
You should seek medical attention if:
- The spot changes in size, shape, or color.

- Your daughter experiences any discomfort, such as redness, swelling, or discharge from the eye.

- There are changes in her vision, such as blurriness or difficulty focusing.

- She shows signs of eye irritation, such as excessive tearing or rubbing of the eye.

What to Expect During the Examination
During the examination, the ophthalmologist will likely perform a thorough assessment, which may include:
- A visual acuity test to check her vision.

- A slit-lamp examination to get a detailed view of the structures of the eye.

- Possibly imaging tests if deemed necessary to evaluate the spot further.

Conclusion
In summary, while many eye spots in children can be benign, it is always better to err on the side of caution, especially when it comes to a child's health. Scheduling an appointment with a pediatric ophthalmologist will provide you with peace of mind and ensure that your daughter receives the appropriate care. Early detection and intervention can make a significant difference in managing any potential issues. Remember, your child's eye health is paramount, and seeking professional advice is the best course of action.

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