Causes of black spots in the whites of eyes

It is quite common to see black spots in the whites of the eyes in our daily life. It may be caused by the deposition of melanin in the eyes. It has little impact on us yellow people, but for white people, the appearance of black spots in your eyes may affect your vision. Therefore, we suggest that patients with black spots in the whites of the eyes can appropriately adjust their lifestyle problems in life.

Conjunctival nevus often occurs on the bulbar conjunctiva near the corneal margin and the palpebral fissure. It is irregularly round, of varying sizes, with clear boundaries, and slightly raised on the conjunctival surface. Moles are generally black, with varying shades of pigmentation, and some are brown-red. There are no blood vessels in moles. If a mole suddenly grows larger, has a rough surface, and has blood vessels growing into it, it indicates the possibility of malignancy.

This is mainly because the choroid is located below the sclera, which is rich in pigments and blood vessels. The sclera is not yet fully developed in children and its thickness is only 2/3 of that of adults. Therefore, the pigments and blood vessels of the choroid can be vaguely seen through the thin sclera as small blue-black dots, which are of no clinical importance.

Pigmented moles that appear in the eyes are safe in most cases and do not require any special treatment. They are just like moles on the human body, except that they grow in different places. However, not all small black spots in the eyes are safe. Some may be caused by diseases. For example, scleral staphyloma can cause dot-like bumps in the eyes, in which case you need to see a doctor. Therefore, if you find black spots in the whites of your eyes, you should go to the hospital for a check-up to confirm whether it is safe.

As for whether the small black spots in the whites of the eyes require surgical treatment, it depends on the results of the examination. If it is a stable benign symptom (the chances are very high), or even if it is just the symptom caused by long-term inflammation, surgery is not required. You can first go to the ophthalmology clinic and ask the ophthalmologist to examine and identify it for you under a microscope, and keep detailed records, and then track regularly to see if there are any changes. If the reason is purely cosmetic, surgical removal is not recommended unless the ophthalmologist suspects that the black spot has a tendency to turn malignant (for example, it continues to grow rapidly or has a different shape), in which case a surgical biopsy is needed for pathological examination and treatment.

Generally, we encounter black spots in the whites of our eyes in life. If the black spots are not very large, we may be able to recover by resting for a few days. However, if the black spots are too large, they will affect our vision. We recommend that patients should go to the hospital more often to check their health to avoid causing greater damage to their eyes. I hope you can pay attention to this.