Facial Skin Lesions

Optometrists and Dispensing Opticians see lots of patients every week. When performing an eye examination, the Opticians Act requires that optometrists ‘examine the eye and its surroundings’ for abnormality or disease. Dispensing, fitting and adjusting spectacles also provides a good opportunity to spot unusual lesions on the skin around the eyes, face and ears. As clinicians dealing with the public and, in particular, an elderly population you are likely to see facial skin lesions regularly. Knowing which lesions need to be referred, which can be dealt with cosmetically and which are best left alone can be of great benefit to you and the patient.

In this article, we describe the most common skin lesions you are likely to come across and explain how to manage them.

We’ve also pulled together a library of images of the skin lesions online - click on the conditions below to see more images.

Basal Cell Carcinoma

Actinic Keratosis

Seborrhoeic Keratosis



Melanocytic Naevus (Mole)


Molluscum Contagiosum

CPD Points: 1

Visionstryt credits: 1

Expiry Date: 31/12/2023

Accredited by

University of Free State Optometry Department logo HPCNA logo

Approved for

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Student Optometrist (Ocular Disease, Standards of Practice)

Student Dispensing Optician (Standards of Practice, Ocular Abnormalities)