---
title: Eye freckles
description: "Eye \"freckles\" are small pigmented spots that can occur on the iris, conjunctiva, or retina. Many are benign, but some need monitoring. ## Examples Different structures show different types of pigmentation. - Iris freckles and naevi visible on the coloured…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/eye-freckles/"
updated: "2025-12-17"
category: "Conditions & Diseases"
---

# Eye freckles

Eye "freckles" are small pigmented spots that can occur on the iris, conjunctiva, or retina. Many are benign, but some need monitoring.

## Examples

Different structures show different types of pigmentation.

- Iris freckles and naevi visible on the coloured part of the eye
- Conjunctival ephelides or naevi on the eye surface
- Choroidal naevi at the back of the eye seen during examination
- Occasional association with conditions like ocular or oculodermal melanocytosis

## Assessment and follow-up

Evaluation focuses on excluding malignancy.

- Slit-lamp and fundus examination with photographs for comparison
- Monitoring for growth, irregular borders, vascularity, or symptoms
- Sun protection advice and review intervals tailored to risk
- Prompt referral to specialists if features suggest early melanoma