How Do You Write Doctor In Apa Style For References Eye Doctors Explanation of Why Freckles and Spots in Your Eyes Need Monitoring With Vision Exams

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Eye Doctors Explanation of Why Freckles and Spots in Your Eyes Need Monitoring With Vision Exams

So you have been told by your eye doctor that there is a freckle in your eye. Should you be worried? It can be many things but most likely choroid nevus or benign choroid melanoma congenital hypertrophy of retinal pigmented epithelium. Both conditions are usually benign and not serious problems. They both need to be monitored to make sure they are not malignant melanomas.

Congenital hypertrophy of the retinal pigmented epithelium (also known as halo nevus) is a pigmented, well demarcated dark spot on the back of your eye on your retina. Although the size is different, it is easy to think of it as being equal to the top of the pen. It is an accumulation of pigment in the cells of the retinal pigment epithelium cell layer. This is hypertrophy, or an increase in the size but not the number of cells. The blood vessels below it atrophy also cause the small blind spots that you are unable to see. When there are frequent changes; It is usually stable, does not change and congenital hypertrophy of the retinal pigmented epithelium can feel like a freckle on your skin. The difference is that you can not observe it for any change as you can have the place in your hand, so the serious condition can be past the treatment stage. In some cases the halo nevus can change from a flat surface and form elevated nodules. The formation of these tumors is very rare, but some optometrists check them every year. Usually no further tests are needed other than an eye exam with your eyes dilated in 3-6 months after the initial examination, then every year after that.

Congenital hypertrophy of the retinal pigmented epithelium also occurs in a form known as “Bear Tracks.” Bear tracks are many dark spots in the back of the eyes that look like little bear footprints. They often occur together with a condition called familial polyps and require additional tests for colon and rectal cancer. This could be because there are important genes that are often found to run in families as a cause of cancer. Bear Tracks can be detected years before the cancer appears so they can be a useful preventive measure for your eye doctor. Bear tracks may require referral to other professionals for further evaluation. Not all patients with Bear Tracks will have cancer, but it is more likely if they are large, present in both eyes, and have more than 3 or 4 spots in each eye. Retinal hypertrophy of the retinal pigmented epithelium is not associated with familial polyps or cancer risk.

Injury to the retina either from injury or disease in the eye can cause dark spots similar to congenital hypertrophy of the retinal pigmented epithelium but they are not the same. They are due to the actual increase in the number of retinal pigment epithelial cells. The main concern in this case is to take care of the condition that caused it. If it is a disease in one of the layers of the eye it will reappear later in the day.

A choroid nevus actually looks like a nevus (freckle) but it occurs in the choroid, the layer below the retina that provides circulation to the retinal tissue. These appear as round, gray, mostly flat areas and usually occur in up to 30% of the population. They are also called benign choroid melanomas, but they are not true melanomas. They are due to the increase of pigment cells in the choroid. This type of cell is found in our skin and in part of the eye. The retina does not have the same type of pigment cells, it has only pigmented epithelium cells. A choroid nevus is usually flat, but looks like melanomas in the choroid because it is at the same level below the retina. They need closer inspection and sometimes more testing to make sure they are in the right place. Any nevus can change to melanoma but it is rare.

Tests to detect any new visual field can include continuous monitoring, optical tomography of the retina, digital imaging, and color of the retina. An examination of the inside of your eye every year is the only way that allows eye doctors to detect most of these balls. Although this can be uncomfortable causing light and dry eyes, it should be done by your eye doctor. Most patients have never had their eyes dilated in the past so when your eye doctor finds a new spot or freckle in your eye it will be there unchanged for years. You can be sure that most of the time it is completely harmless and only needs to be checked once a year for changes. In areas with a lot of UV exposure like Northern Colorado, wearing sunscreen with UV protection can help reduce the risk of melanomas. There is some controversy about UV exposure and cancer, and some suggest that vitamin D may reduce some of the cancers and cancers found associated with bear tracks. In the future, sun wear and moderate exposure to UV can make a good deal.

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