OpenHealth Q&A

Get answered by medical professionals

Concern Over Growing Pigmented Spot on Iris

9/12/2025, 7:01:14 PMMale25-34

Age: 22, Male, Non-Smoker, Physically Active, Otherwise Healthy. Greetings everyone, I’m seeking some additional insights regarding a recent observation. In May, I underwent a laser retinopexy procedure aimed at addressing a retinal tuft in my eye. This was performed by a well-regarded ophthalmologist in my local area, and the surgery went smoothly. Following the treatment, I noticed a small indentation where the laser had been applied. Initially, I assumed this was a typical result of the procedure, but upon returning to the ophthalmologist, I was informed that it was a pigmented area. He referred to it as an iris nevus and reassured me that it was nothing to be alarmed about. Being somewhat of a hypochondriac, I began taking weekly photographs to keep tabs on the pigmented area on my iris. As a few months went by, I observed some enlargement of this pigmented lesion, leading to increased anxiety on my part due to my tendency towards health anxiety. Upon another visit to the ophthalmologist for my concerns, he again confirmed that it was merely a nevus and assured me that it posed no threat. I shared the images I had documented, and he expressed no worries over the changes, suggesting a yearly examination of the lesion moving forward. Nonetheless, I am here seeking a second opinion to ascertain whether my concerns are valid or if I am being overly cautious. I’ve come across unsettling information online regarding potential iris melanoma and wanted to present my situation in hopes of obtaining a professional viewpoint. Thank you for your assistance!

Thyroid DisordersInternal MedicineRheumatology

Answers (1)

Cony

9/12/2025, 7:01:45 PM

OpenHealth AI

It's understandable to feel anxious about changes in your health, especially when it involves something as critical as your vision. You mentioned that your ophthalmologist confirmed the pigmented area on your iris as an iris nevus, which is generally benign. Let's break down your situation and action points.

Summary of Main Points:

  • Iris nevus is typically harmless: Your ophthalmologist has evaluated the pigmented area and reassured you that it is not a concern.
  • Monitoring is essential: Keeping track of changes is valid, but your doctor's advice for yearly examinations should help ease your anxiety.
  • Focus on self-awareness: Managing your anxiety is as important as monitoring the nevus.

Explanation:

An iris nevus is similar to a mole on the skin; it's just a collection of pigment cells and is usually harmless. Changes in size or color can occur, but not all alterations indicate a problem. Your doctor has recommended regular check-ups, which is a standard approach to ensure that any changes are monitored by a professional.

While information online can be alarming, remember that not all pigmented lesions are cancerous. Your healthcare provider is the best source of guidance regarding your specific case.

Next Steps:

  1. Continue Regular Monitoring: Since you're already documenting changes, maintain your routine of taking photographs every few weeks but focus more on changes that seem sudden or concerning.

  2. Yearly Follow-ups: As recommended by your ophthalmologist, ensure you keep your annual appointments to track the nevus with a professional's eye.

  3. Manage Anxiety:

    • Consider speaking to a mental health professional or utilizing anxiety management techniques such as mindfulness or relaxation exercises. Addressing your anxiety could help you process your concerns about the nevus more calmly.
    • Support groups or forums focusing on health anxiety can provide community and shared experiences.
  4. Educate Yourself: Instead of seeking information only online, consider asking your ophthalmologist for literature or reliable resources about iris nevi and eye health. This can help in reducing the fear associated with uncertainty.

It's important to trust your healthcare team and engage with them on any lingering concerns. Remember, you’re empowered to take charge of your health while also finding support for your anxiety. Let me know if you need more information or assistance!

Related Questions

Is It Common for a 9-Year-Old to Experience Facial Paralysis for 6 Months?

At the age of nine, I was told by my father that my smile appeared uneven; essentially, the left side of my face seemed partially paralyzed. Although I could still move it to some degree, blinking was a challenge on that side, which often left my eye feeling dry. We visited the hospital that very day, where they administered laughing gas to facilitate a lumbar puncture due to their suspicion of Lyme disease, along with a blood test to rule out other potential issues. The lumbar puncture was intensely painful, a discomfort I had never experienced before, even with the gas administered to dull the sensation. In the end, the test results yielded no conclusive diagnosis—doctors speculated that a nerve might have been inflamed or something along those lines. Despite having access to free healthcare, the experience was frustrating. To manage my symptoms, I used a patch taped over my eye to help retain moisture, which eventually resolved the issue. Though I suspect that nerve swelling was the culprit, I occasionally find myself reflecting on the incident and wonder if other factors could be responsible.

LupusCOPDRheumatology
Male25-34
2 minutes ago

Unexplained Bruises and Welts on My Daughter's Skin

Four nights ago, my daughter developed two noticeable welts on her thighs, which showed no signs of pain or itching. She insisted vigorously that nothing occurred to cause them, and nobody had harmed her. The following day, I noticed that the welts had vanished, leaving behind bruises. This left me quite anxious, fearing she might have sustained an injury. However, since that initial incident, it seems she has developed one or two more welts every evening right before bedtime, which then disappear overnight, only to be replaced by bruises in the morning. Most of these welts have appeared on her legs, ankles, and feet, with the exception of one on her palm that did not result in a bruise. Oddly, none of the welts are itchy, but she mentions that they can be painful when pressure is applied. There's a bit of swelling as well, consistently occurring in the evenings just before she goes to bed. We plan to consult a doctor on Monday, but it's currently the weekend, and I'm curious if anyone has encountered something similar or could have insights on what might be happening.

ArthritisLupusInternal Medicine
Male25-34
12 minutes ago

Navigating Acoustic Neuroma Treatment Options

**Profile: 45-year-old Male, 6'0", 220 lbs, No Regular Medications** My husband maintains a relatively healthy lifestyle despite experiencing some service-related disabilities. About a year and a half ago, he underwent knee replacement surgery, and he utilizes a CPAP machine due to sleep apnea—an issue linked to a jaw surgery performed many years ago. Additionally, he has a history of appendectomy. For the past three years, he has been prescribed hearing aids due to bilateral hearing loss, although he rarely uses them. About eight months ago, he experienced what he described as the "worst headache of his life." Given that he seldom suffers from headaches, we decided to visit the emergency room. A CT scan showed no abnormalities, and he was diagnosed with a migraine. Since then, he has grappled with weekly migraines. He has a triptan medication, but it offers limited relief. Additionally, he has been reporting non-migraine headaches every few days. Before this incident, he reported headaches perhaps twice a year, typically after consuming alcohol, which he does occasionally and in moderation. He also frequently mentions a sensation of pressure or fullness in his head, though he is uncertain if he would categorize it as a headache. Given the stressors our family has faced over the past couple of years, I hoped this might subside as we return to a more typical routine. Two weeks ago, my husband’s boss alerted us that an ambulance was called after he fainted while walking down the hall at work. After regaining consciousness, he attempted to sit up but felt intense dizziness, forcing him to lie back down. Although his fall wasn't witnessed, he was found roughly two minutes later. At the ER, tests including a CT scan and EKG returned normal results. He was then referred back to his primary care manager (PCM), who ordered an MRI with and without contrast. The MRI revealed the presence of an acoustic neuroma. Through my investigation, it appears that many of his symptoms—headaches, pressure sensations, dizziness, and cognitive fog—could be linked to this condition. We are currently awaiting a follow-up appointment with his PCM for a specialist referral. I want to ensure that he is equipped to advocate for himself during this process. Considering his MRI results and associated symptoms, should we seek the expertise of a specialist familiar with acoustic neuroma? I am concerned that our small-town ENT may not have extensive experience with this issue, and I want to avoid a mere monitoring approach if more proactive treatment is advisable. With a busy family and an active lifestyle, his symptoms over these past months have certainly impacted him, as well as our family dynamics and his professional duties. I would greatly appreciate any insights regarding treatment options or specialist locations you might be able to share. Thank you!

Crohn's DiseaseCOPDInternal Medicine
Male25-34
42 minutes ago

Blood in Urine: Seeking Guidance

A 20-year-old female weighing 140 pounds has not been taking any medications or supplements, and has no prior or current medical conditions. Her menstrual cycle last occurred two weeks ago. While at work, she observed blood in her urine, which appeared light red but darker than pink. Accompanying this symptom, she has experienced some abdominal discomfort. Notably, there was no evidence of blood on her underwear, only when she urinated. Additionally, she felt a moment of lightheadedness upon noticing the blood, which has since subsided; she attributes this feeling to her anxiety about the potential seriousness of the situation. Given these symptoms, what could be the likely cause? She is uncertain whether to visit the emergency room or to wait until urgent care is available tomorrow for a consultation. As she recently relocated and does not have a primary care physician yet, her anxiety is heightened.

LupusInternal MedicineEndocrinology
Male25-34
1 hour ago

Exploring Endolymphatic Hydrops: Could This Be My Condition?

34 years old / Female Current weight: 165 lbs Navigating the challenges of motherhood In early December 2025, I caught a cold. By mid-December, my right ear felt blocked, but I attributed it to the cold virus. As New Year approached, I experienced another cold, which coincided with an onset of ringing in my ears. Disturbingly, sounds started to seem altered from the affected ear, accompanied by a persistent fullness in that area. Additionally, I noticed twitching of my eye and swelling in the salivary gland on the same side. My primary care physician prescribed a decongestant and Flonase; however, because I am currently breastfeeding, I hesitated to take the medications as directed. On January 27, I was evaluated by an ear, nose, and throat specialist, who requested a hearing assessment the following day. The results indicated that I had sensorineural hearing loss affecting my low-frequency hearing range (250 Hz to 500 Hz). The doctor prescribed a steroid with the hope of addressing the issue promptly. Now on day 10 of steroid treatment, I have experienced significant relief. Remarkably, I've noticed a substantial amount of thick, putty-like mucus clearing from my nasal passages. The pressure in my ear has subsided, and sounds are returning to normal, though I still perceive a slight ringing — possibly just a touch of hearing loss remains. What concerns me is whether ongoing sinus congestion could be the root of these symptoms or if I might genuinely be dealing with endolymphatic hydrops. Notably, I have not experienced any episodes of dizziness. In the evenings, I tend to feel considerable pressure building on the right side of my head, almost as if my sinuses are becoming blocked once more. I would greatly appreciate any insights or advice on this matter, as I find myself in a state of uncertainty regarding my condition.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
1 hour ago