Causes and Treatment of Brown Spots on Eyes

An image showing brown spot on eye

What Do Brown Spots on Your Eye Mean?

Brown spots, often referred to as nevi or eye freckles, occur in the eye when pigment cells called melanocytes gather together, similar to how freckles or moles form on the skin. Melanocytes produce melanin, which gives color to hair, skin, and eyes. Normally, these pigment cells are evenly spread throughout the body. They only become visible when they cluster.

The exact cause of this clustering is not fully understood. While some people are born with eye freckles, we still don’t know what leads to the development of spots in the eyes. It is believed that factors like exposure to light may play a role in the formation of nevi.

Many brown spots found in the eye are typically harmless and represent a mole inside the eye. However, in rare cases, they might signal ocular melanoma, a type of eye cancer. Ophthalmologists closely monitor these spots and Recommend treatment if any signs of malignancy are detected.

When you notice a spot in your eye, it may appear as a patch of brown on the iris or the transparent membrane that covers the eyeball (conjunctiva). These spots can be found in areas within the eye, including the iris and sclera, and they alter the usual appearance of the eye.

According to the American Academy of Ophthalmology, brown spots on the eyes are considered abnormal growths. They are often observed on the conjunctiva or iris and can be associated with conditions like nevus or ocular melanoma.

A nevus, like an eye freckle, is a pigmented growth that may develop either on or within the eye. While most nevi are harmless and do not require treatment beyond monitoring for changes in color or shape, any alterations in nevi could indicate the presence of melanoma, a rare form of eye cancer.

Detecting ocular melanoma can be challenging as there are usually no warning signs or symptoms. A comprehensive eye examination is necessary for diagnosis.

Treatment for ocular melanoma, if necessary, might be done through surgery or laser therapy. However, benign nevi typically do not need any treatment, but it is recommended to keep monitoring them regularly.

It is important to understand why brown spots appear on the eye and what might be causing them, especially for the 5-10% of people who have them. Although most of them are harmless, it is still important to stay vigilant and consult with eye care professionals so that any potential issues can be identified and managed in a timely manner.

Are Brown Spots on the Eyes Dangerous?

Brown spots in the eye might not be a cause for concern. However, if they start causing discomfort or issues with vision, it is important to consult an eye doctor for a thorough examination. Eye checkups are crucial to detect any changes and ensure timely assessment.

Generally, if these spots remain stable and don’t show any changes, they are usually not problematic. However, yearly eye exams are recommended, especially since nevi may change over time.

It is important to note the characteristics of eye freckles, such as changes in shape, discomfort, seeing flashing lights, or experiencing vision alterations. If you notice any of these signs, it’s necessary to seek immediate medical attention for proper evaluation and management, as advised by the American Academy of Ophthalmology (AAO).

Are These Brown Spots Cancerous?

Not all eye spots are cancerous. Many of these spots are completely harmless and exhibit specific features:

  • They tend to remain the same size and shape over time.
  • Non-cancerous nevi often appear flat with well-defined edges.
  • Nevi that are present from birth usually do not transform into cancer.

Unfortunately, ocular melanoma often lacks early warning signs, with symptoms only becoming apparent in later stages. These symptoms may include;

  • Blurred vision or sudden vision loss.
  • Seeing Flashes of light.
  • Loss of a part of your visual field.
  • Changes in the size or shape of the pupil.

It is crucial to undergo eye checkups to detect and treat eye cancers at an early stage. Certain types of eye cancers may not be apparent until evaluated by an eye specialist. Making appointments with an ophthalmologist greatly increases the likelihood of detecting eye diseases in their phases, thus preventing them from progressing into more severe conditions.

What Causes Brown Spots in Eyes?

  1. Melanocytes and Nevus Formation:

Melanocytes produce melanin, which gives color to hair, skin, and eyes. Sometimes, these melanocytes can come together, forming spots or nevi in the eyes. These spots can be present at birth or develop later in life, often due to exposure to ultraviolet (UV) light.

  1. Ocular Melanoma and its Causes:

Ocular melanoma is a type of cancer that originates from melanocytes in the eye. It can occur due to genetics and environmental influences, leading to DNA mutations or abnormalities. People with Light-colored eyes, fair skin, or conditions like dysplastic nevus syndrome have a higher risk of developing ocular melanoma.

  1. Association with UV Exposure:

Exposure to UV light is linked to the formation of nevi and eye freckles. It’s important to wear sunglasses that provide UV protection to reduce their occurrence. Individuals with darker skin pigmentation may be more likely to develop eye freckles because they have higher melanin levels.

  1. Age-Related Factors Leading to Eye Freckles (aging):

Eye freckles can occur due to a combination of factors like exposure to sunlight or certain diseases that affect the production of melanocytes.

Increased levels of melanin or prolonged exposure to UV rays, particularly as individuals get older, can contribute to forming these spots in the eye.

Less Common Causes

Other factors that can cause discoloration in the eye include medications such as epinephrine, endocrine diseases, Axenfeld nerve loops, or foreign objects entering the eye. However, instances of eye cancer originating from these spots are extremely rare.

How Are These Brown Spots Diagnosed?

  1. Dilated Eye Exams:

It is generally recommended for individuals with healthy eyes to undergo an eye examination every two to four years. During these exams, the doctor will carefully Measure the speckles in your eyes to identify any changes or irregularities.

  1. Doctor’s Assessment:

In most cases, the doctor will simply Measure the eye speckles during the examination as they are typically harmless. However, the doctor may order tests to confirm a diagnosis if a spot appears suspicious or potentially dangerous. The doctor may suggest removing the spot for further analysis or treatment in certain cases.

How to Treat Brown Spots in Eyes

  1. Monitoring and Observation:

Regular monitoring and yearly imaging are essential for tracking changes or growth in a nevus or nevi. This helps ensure that they do not pose a threat or become cancerous. Noncancerous nevi may be considered for removal only if they affect the appearance of the eye.

  1. Ocular Melanoma Treatment:

Different approaches are taken when dealing with melanomas. Small melanomas might adopt a “watch and wait” approach, while larger or concerning cases might need treatment.

Radiation therapy and surgery are the known treatments for melanoma. Additionally, emerging immunotherapy drugs have been approved for use in specific cases.

  1. Available Treatment Options:

Surgery: involves the removal of the eye growth through a surgical operation.

Radiation: utilizes high-energy rays or specialized equipment to eliminate or shrink the growth. 

Laser treatment and thermotherapy can also be used to destroy blood vessels or cancer cells.

However, it’s important to consider the risks associated with these treatments as they might affect surrounding eye tissues. Therefore, interventions are typically suggested only if the spot is dangerous or cancerous.

  1. Nevi Management and Removal:

Observation without intervention is often recommended in the case of nevi that doesn’t impact vision or cause discomfort. However, if these spots start growing or become painful, an eye doctor might suggest removal using methods such as lasers or other surgical techniques. Additionally, some brown spots can be treated with medications that may lead to their disappearance over weeks of application.

  1. Constant Monitoring and Intervention when Needed:

Regular surveillance every six months to one year is crucial for Nevi to ensure no growth or complications arise.

  1. Cosmetic Concerns:

Removing eye spots for cosmetic purposes is generally not recommended since these spots are mostly harmless. 

To sum up, dealing with spots in the eyes requires monitoring, scheduled check-ups, and appropriate interventions if needed. The main focus is on managing any complications and addressing suspicious spots. Medical intervention is primarily advised when a risk or complications arise, underlining the significance of monitoring.

How to Remove Brown Spots in Eyes Naturally: Is It Even Possible?

Removing spots in the eyes naturally may seem plausible, but it’s important to know the limitations and potential risks involved. While some sources suggest using natural remedies to eliminate these spots, there is actually no evidence supporting their effectiveness. Although there may be stories suggesting the possibility, without scientific validation, it does not appear that natural remedies can effectively eliminate these spots.

It is crucial to understand that trying to remove these spots at home carries its set of risks. DIY methods lack safety measures and proven efficacy. They could result in eye damage and permanent vision loss. The only safe and effective ways to remove spots in the eyes involve seeking intervention. Due to the associated risks, attempting natural remedies without scientific backing is not recommended.

When to seek medical care?

it’s important to consult with your doctor If you spot a mark on your eye

Your doctor will probably suggest monitoring if the brown mark is identified as an eye freckle.

While it is uncommon, an eye freckle has the potential to develop into ocular melanoma over time. If tests indicate a cancerous transformation, your doctor will work with you to create a treatment plan.

If you notice any of the symptoms mentioned earlier or any changes in your eyes or vision, such as pain, it is important to seek medical attention. You may also want to explore discoloration in different parts of the body, such as dark or black spots on the tongue.

Conclusion

Brown spots on the eyes, sometimes referred to as nevi or eye freckles, are an interesting aspect of eye health. These spots are caused by clusters of pigment cells called melanocytes, similar to how moles or freckles form on the skin. While they are usually harmless, there is a concern for malignancy, like ocular melanoma, a rare form of eye cancer.

Understanding the causes, potential risks, and available treatments for these spots is crucial to maintaining optimal eye health. Though most eye speckles are harmless and don’t require attention, monitoring them through regular checkups and seeking medical attention if necessary is important. It’s also very important for those affected by these spots to stay vigilant so that any changes can be identified and managed appropriately.

In summary, although these spots on the eyes are usually not a cause for concern, it is essential to prioritize eye examinations and seek professional guidance. This will help identify, properly treat, and maintain eye health.