Is This Spot a Sign of Cancer?
Approximately a week or so ago, I became aware of a brown mark in my eye. After snapping a photo of it, I mentioned it during my annual health check-up. My doctor recommended that I consult an eye specialist. Upon doing so, I pointed out that I believed the spot had darkened a bit since I first noticed it. The eye doctor didn't seem overly worried, diagnosing it as melanosis and suggesting we keep an eye on it, emphasizing that cancer in this scenario is exceedingly rare. However, I’ve become increasingly anxious about this because, for several reasons, it appears to be changing at a rather quick pace. First, it only just appeared (I easily notice it while applying mascara, so I’m sure it wasn't there before). Secondly, the shape appears quite irregular. Lastly, there are peculiar blood vessels that seem much more prominent than the typical ones in my eye. I've documented its progress with two photos: the first one was taken on August 5th, which, I admit, isn't the clearest image. The other two were captured on the 11th and today, the 13th, in the same lighting conditions. One image focuses on the spot itself, while the other highlights the odd, twisting blood vessels. As for my background, I am a 31-year-old Caucasian female living in Chicago, standing at 5'7" and weighing 145 pounds. I rarely drink alcohol—just the occasional cocktail—and I do not smoke or use any illicit substances. I suffer from chronic migraines and Hashimoto's disease, and I generally maintain low blood pressure. I am also exploring possible dysautonomia and currently take medications such as levothyroxine, Topamax, and Quillivant.
Answers (1)
8/13/2025, 8:11:02 PM
OpenHealth AI
It's completely understandable to feel anxious about a new spot in your eye, especially when you've noticed changes in it. Your doctor’s initial assessment of melanosis—essentially a benign pigmentation—can sometimes be concerning if it changes rapidly or presents irregular features. While the risk of cancer is generally low, especially given your ophthalmologist's reassurance, it’s important to keep monitoring the situation closely.
Explanation
Melanosis can occur for various harmless reasons, but significant changes such as darkening, irregular shape, and prominent blood vessels warrant careful observation. These changes can sometimes be benign but should be documented and discussed regularly with your eye specialist.
Next Steps
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Document Changes: Continue taking clear, regular photos of the spot and the surrounding area to monitor any further changes. Note the size, color, and shape over time. Your existing images are a great start.
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Follow-Up Appointment: Schedule a follow-up appointment with the eye specialist sooner than your next routine check-up, especially if you notice further changes in the appearance of the spot or if it becomes bothersome.
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Prepare for Your Visit: Before your appointment, write down any questions or concerns you have, particularly regarding the irregular shape and blood vessels. This will help ensure you get comprehensive information during your consultation.
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Limit Eye Strain: Given your chronic migraines, engage in practices to minimize eye strain, such as adjusting lighting conditions while applying makeup and taking regular breaks from screens.
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Stay Informed: Educate yourself on the types of conditions that can affect ocular health, but try not to let research exacerbate anxiety. Reliable resources include the American Academy of Ophthalmology or the National Eye Institute.
Remember, being proactive and aware of your health is essential. Keeping communication open with your healthcare providers and continuing to monitor changes is the best approach. You’re doing the right thing by seeking help and staying informed.
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