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Ask Dr. Dan B. Your Own Question
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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I have several black spots on one of my eyeballs that I've

Customer Question

I have several black spots on one of my eyeballs that I've been told is a birthmark. I believe it is directly correlated to some discoloration on the skin around my eye that looks like a black eye that arrived in my late teens. I am 31. It does not effect my vision and I was told not to worry about it but to get it checked out every few years. I saw an ophthamologist who didn't know what it was or what to do with it. What kind of specialist should I see?
Submitted: 7 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 7 years ago.

Hello and thank you for your question.

Please allow me to ask you a few questions so I can better understand the situation.

Are you of African, Hispanic or Asian descent or are you caucasian?

Is this only on and around one eye or is it both?

Customer: replied 7 years ago.
Hey Doctor,
Caucasian, and one eye.
Expert:  Dr. Dan B. replied 7 years ago.

This combination of pigmentation on your eyeball and on the skin on and around your eyelid sounds consistent with a diagnosis called oculodermal melanocytosis.

This usually happens in someone of African, Asian or Hispanic descent, but can happen in caucasian individuals.

This is something that should be monitored on a regular basis, at least every year or more often as your ophthalmologist and/or dermatologist recommend. The skin pigmentation can transform into a malignancy and is more likely to occur in a caucasian individual. In addition, approximately 1 in 400 individuals with this develop a malignant melanoma in the colored tissues inside the eye called the uvea.

I think regular follow-up with a dermatologist and an ophthalmologist (oculoplastics specialist or glaucoma specialist) would be warranted.

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My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.