What does a gray spot on the whites of both the eyes in a toddler mean?

Hello,

Welcome to icliniq.com.

I understand your concern.

I have reviewed the pictures you have sent (attachment removed to protect the patient's identity). It appears to be a pigmentation of the conjunctiva (transparent layer over the white of the eye) which must have been there for a while. It is called ocular melanosis, a patchy pigmentation of the conjunctiva. It is relatively benign and is not of concern. As your child grows, it might appear more prominent as the eyeball grows. Occasionally it may become darker. However, you have to keep an eye on it. If it appears to expand close to the cornea (center area of the eye), it can increase the eye pressure. From the picture you sent, it does not appear to be a threat as of now. However, if it does, the child will need to be examined by an ophthalmologist. I suggest you buy a pair of sunglasses when the child goes outdoors during the day as, theoretically, sunlight can cause melanin (pigmentation) to increase. Other than that, there is nothing to worry about. Kindly revert in case of further doubts. I hope this helps. Thank you.

Hello,

Welcome back to icliniq.com.

Absolutely not. A lot of children can have ocular melanosis. It is more common in darker races. You probably read about a similar condition of acquired ocular melanosis, which is very rare and seen in adults. As your child is only two years old, the risk of complications are rare. You can get her eyes checked every two years, as it is the norm for everyone. Please do not worry about this. I hope this helps. Thank you.