My 6-year-old seems to have a freckle on his lower eyelid, right along the lash line. He has not lost any eyelashes. Is this common?

Pigmented lesions of the eyelid can occur on the lash line. Approximately one percent of infants have a pigmented lesion. This may be a congenital melanocytic nevus. The vast majority of these lesions are benign, or non-cancerous. Most congenital melanocytic nevi may be observed for change over time. However because of the extremely small risk of the lesion undergoing a malignant (cancerous) transformation, it is useful to follow these lesions for growth or change over the lifetime of the individual with digital photos. If there is change or growth in these lesions, uncertainty regarding the diagnosis, or cosmetic concerns, a biopsy is recommended. Your child should be evaluated by an ophthalmologist to help guide your decision process with respect to this lesion.