Eye “moles” usually refer to benign pigmented lesions such as conjunctival naevi or choroidal naevi. Most remain harmless but require monitoring.
Types and appearance
Location influences both appearance and risk.
- Conjunctival naevi on the white of the eye, often present from childhood
- Choroidal naevi in the back of the eye detected on dilated exam
- Flat or slightly elevated, with variable pigmentation
- Some features raise concern for transformation to melanoma
Management
Regular review helps detect any suspicious change early.
- Baseline photography and measurements at diagnosis
- Monitoring for growth, thickness increase, orange pigment, or fluid
- Biopsy or excision of atypical conjunctival lesions
- Referral to ocular oncology if melanoma is suspected
