HomeAnswersOphthalmology (Eye Care)corneal opacitiesMy son has a white speck on his iris, diagnosed as congenital. What could this be?

Can lens opacity affect vision in the long term?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 9, 2023
Reviewed AtOctober 9, 2023

Patient's Query

Hello doctor,

I have a question. My son was born with a white speck on his iris. An eye doctor examined him at six months old and said it was congenital. He has not had any symptoms. Can I send a picture for a second opinion?

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern about the white spot on your child's iris. Please send a clear photo of your child's eyes and any medical reports of the presumed diagnosis, if possible. I will do my best to help you with the information provided. You can upload the files to your message.

Thank you.

The Probable causes

1. Congenital spot on iris.

Patient's Query

Thank you doctor for the reply,

I do not remember the exact diagnosis. It is possible that it is something congenital, like a coloboma?

Hello,

Welcome back to icliniq.com.

Thanks for providing the information and photo (attachments removed to protect patient's identity). If you are referring to the white speck at 12 o'clock near the pupil, it appears to be on the cornea or the lens, as there is no continuity with the iris. It doesn't seem to be a coloboma, which would cause the pupil to be oval and peak at 6 o'clock. Based on my assessment, it appears to be a tiny corneal or lens opacity, which is generally not dangerous and unlikely to increase in size. The location of the speck is also unlikely to affect his vision in the long term. However, I cannot confirm my diagnosis one hundred percent from the photo alone. To assess the actual depth and nature of the speck, a special instrument called a slit lamp biomicroscope is required. If it is a congenital lens opacity, it usually doesn't progress. My advice is to monitor the size and have his eyes checked annually, as recommended in your country.

I hope this information eases your anxiety about your son's condition. Please feel free to right back about any more concerns.

Thank you.

The Probable causes

Congenital cause.

Investigations to be done

Annual ophthalmic examination.

Differential diagnosis

Lenticular opacity.

Probable diagnosis

Corneal opacity.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Asha Juliet Barboza
Dr. Asha Juliet Barboza

Ophthalmology (Eye Care)

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