Choroidal Nevus: Understanding Your Eye's Hidden Birthmarks

Choroidal nevi are benign pigmented spots located within the choroid layer of your eye. While usually harmless, regular monitoring is essential for maintaining your eye health.

Choroidal Nevus: Understanding Your Eye's Hidden Birthmarks Optometrist
Table of Contents

Understanding Choroidal Nevus: A Closer Look at Your Eye’s Hidden Birthmarks

A choroidal nevus is essentially a benign birthmark found inside your eye, specifically in the pigmented layer known as the choroid beneath the retina. Most of the time, these nevi are harmless and do not cause any symptoms, making them similar to the freckles or moles you might find on your skin. Regular monitoring by our eye doctors is key to ensuring that these small spots remain benign, so you can feel confident in your eye health.

Specialty Vision

What Is a Choroidal Nevus?

Just like a birthmark on your skin, a choroidal nevus is a pigmented spot in the eye. It appears as a brown or grayish-brown patch located within the choroid, a layer of tissue that supplies blood to the retina. These spots are usually discovered during routine eye examinations using specialized imaging tools, because they are not visible to the naked eye.

In many cases, a choroidal nevus is so subtle that it causes no noticeable changes in vision. Often, they also contain tiny deposits known as drusen, which are small yellow or white spots that can develop over time. Drusen are a normal finding with aging and do not necessarily indicate any problem.

Are Choroidal Nevi Dangerous?

Are Choroidal Nevi Dangerous?

Here’s the thing: most choroidal nevi remain completely benign and do not interfere with your daily activities or vision. In rare instances, however, a nevus may develop features that could indicate it is at a higher risk of growing into a more serious condition called melanoma. According to current medical observations, only about one in every 5,000 choroidal nevi develops into a malignant melanoma, making this transformation extremely uncommon.

Despite the low risk, it’s vital to treat any changes in your vision or the appearance of the nevus with the utmost attention. Think of it as similar to the way you might keep an eye on a mole on your skin. Even though most moles are harmless, regular monitoring is important, and the same careful watchfulness applies to choroidal nevi.

Schedule a comprehensive eye examination with our team to ensure your choroidal nevus remains stable and benign.

How Is a Choroidal Nevus Diagnosed?

How Is a Choroidal Nevus Diagnosed?

Because choroidal nevi rarely cause symptoms, they are most often found during a comprehensive eye exam. Our eye doctors use a variety of detailed imaging tools to visualize the back of the eye and capture the precise characteristics of the nevus.

Specialized Tools for a Thorough Examination

Several tests and imaging methods help in evaluating a choroidal nevus:

  • Dilated Eye Exam: This exam gives our eye doctors a detailed view of the inside of your eye, including the choroid layer.
  • Ultrasound Imaging: Ultrasound helps in measuring the size and thickness of the nevus, especially when it slightly elevates from the surrounding tissue.
  • Fundus Photography: Special photos of the retina are taken over time to compare any changes in the nevus’s appearance.
  • Fluorescein Angiography: In certain cases, this test assesses blood flow within the eye and may be used if there is a concern about leakage of fluid or other changes in the lesion.
  • Optical Coherence Tomography (OCT): OCT provides cross-sectional images of the retina and choroid, allowing our eye doctors to examine the layers in great detail.

These tests are essential for documenting the size, shape, and other characteristics of a choroidal nevus over time, ensuring that any subtle changes are caught early.

Features and Appearance of a Choroidal Nevus

A visual comparison often helps in understanding what exactly we’re looking at during an examination. A typical choroidal nevus will have:

  • Color: Most choroidal nevi appear as grayish or brown patches. The exact hue can vary depending on the natural pigmentation of your eye tissue.
  • Shape and Size: They are generally round or oval in shape and are either flat or only slightly elevated, usually less than 2mm thick.
  • Additional Markings: Some nevi may display small yellow deposits (drusen) or even patches of lipofuscin, an orange pigment. These features, though noticeable, are common findings.

It is important to note that while these characteristics help our eye doctors differentiate a benign nevus from more concerning lesions like melanoma, they are not a cause for immediate alarm if found during your exam.

Are Choroidal Nevi Dangerous?

Choroidal Nevus: Understanding Your Eye's Hidden Birthmarks

Schedule a comprehensive eye examination with our team to ensure your choroidal nevus remains stable and benign.

Common Questions

No, most choroidal nevi don’t require treatment and are typically monitored to ensure they remain harmless.
An annual eye examination is recommended, but if high-risk features are present, more frequent monitoring may be needed.
In most cases, choroidal nevi do not affect vision. However, if changes occur, minor vision changes might be observed.
Changes in a choroidal nevus call for closer observation. While the risk of melanoma is low, early detection is key.
Amplify EyeCare cartoon

Choroidal Nevus: Understanding Your Eye's Hidden Birthmarks

Choroidal nevus are benign eye spots. Regular monitoring is key to ensuring your eye health and peace of mind.

Logo Specialty Vision Stacked Fullcolor1

Find a Doctor

starchevron-downarrow-up