Eye Naevus (Eye Freckle)
What is an eye naevus?
An eye naevus, often called an eye freckle, is a pigmented spot or lesion that appears in or on the eye. Similar to moles on the skin, most eye freckles are non-cancerous and do not affect vision. However, some require monitoring to ensure they do not undergo changes that may suggest malignancy. Eye naevi can be present from birth or may develop over time.
What causes eye freckles?
Eye naevi are formed when pigment-producing cells called melanocytes cluster together. To help reduce the risk, it is advisable to wear UV-protective sunglasses, especially in sunny or outdoor environments.
- Genetic predisposition
- Lighter skin tone (more common among Caucasians)
- Long-term exposure to ultraviolet (UV) light
Where eye freckles can appear?
Eye naevi can form in various parts of the eye. The most common locations include:

Conjunctival Naevus
These appear on the clear membrane (conjunctiva) covering the white part of the eye. They may be flat or slightly raised and can change colour over time. Most are benign and harmless.
How eye freckles are diagnosed?
We maintain digital records and imaging to monitor any size, colour, or shape changes over time. Regular check-ups are key to early detection of potentially concerning transformations.
Slit-lamp examination
Fundus photography
Optical Coherence Tomography (OCT)
for deeper structures like the choroid
How eye freckles are diagnosed?
Treatments
In most cases, no treatment is required for an eye freckle. However, management depends on the type and risk level:

Observation
Most naevi are benign and only require routine monitoring.
WHAT YOU SEE MATTERS
Schedule your eye screening
Eye Naevi are often found incidentally, but due to the potential (though rare) risk of malignancy, early and consistent monitoring is essential. At Eagle Eye Centre, we provide comprehensive eye assessments using the latest imaging technologies.