“I have three conjunctival nevis on my eyes. Two in my right eye and one on my left eye?”
Many weeks ago, I started having mild eye pain. I got it checked out by my primary care physician, and she said I should be fine and that it was probably seasonal allergies. Things didn't improve, and I started getting floaters in my vision, as well as recurring headaches, so I decided to see an ophthalmologist. She told me my eyes looked fine and were just dry, so she gave me artificial tears to use throughout the day. After her, I saw one more ophthalmologist just to confirm, and he told me I should be okay and to check in with a neurologist.
The neurologist diagnosed me with migraine with aura and prescribed my migraine medication. Additionally, he ordered an MRI so I can get imaging of my brain. The MRI scans returned, and the neurologist informed me that everything looked normal, but things didn't get better. On my family trip, I couldn't participate in activities because of constant nausea and dizziness. My head didn't hurt, but I was experiencing more intense eye pain. Additionally, I noticed two little freckles on the whites of my left eye and one freckle on the white of my right eye. The ophthalmologist told me that my freckles looked benign and just to keep an eye out for them. However, my symptoms keep getting worse. I've seen so many doctors, and they've all said everything looks okay, but if so, why are my symptoms getting worse?
Could the freckles on my eye be a sign of ocular melanoma? Are eye freckles normal?
The neurologist diagnosed me with migraine with aura and prescribed my migraine medication. Additionally, he ordered an MRI so I can get imaging of my brain. The MRI scans returned, and the neurologist informed me that everything looked normal, but things didn't get better. On my family trip, I couldn't participate in activities because of constant nausea and dizziness. My head didn't hurt, but I was experiencing more intense eye pain. Additionally, I noticed two little freckles on the whites of my left eye and one freckle on the white of my right eye. The ophthalmologist told me that my freckles looked benign and just to keep an eye out for them. However, my symptoms keep getting worse. I've seen so many doctors, and they've all said everything looks okay, but if so, why are my symptoms getting worse?
Could the freckles on my eye be a sign of ocular melanoma? Are eye freckles normal?
Female | 19 years old
Complaint duration: one month
Medications: Sumatriptan
Conditions: none
2 Answers
These are normal naevi. Not melanomas.
In general conjunctival nevi are not related to migraine. They can uncommonly become conjunctival melanomas but this would be unusual. To allay your concerns I would recommend that you get an evaluation by an ophthalmologist who is fellowship trained in “Corneal & External Disease”. They are usually working at large hospital or academic ophthalmology departments or in private practice. This doctor can obtain appropriate documentation of any lesion(s) and should it become necessary, do a biopsy.
