Brushfield spots are small white or grayish/brown spots on the periphery of the iris in the human eye due to aggregation of connective
tissue, a normal iris element. They are common in many children of Caucasian background, but much less common in children with Asian backgrounds. They occur commonly in children who suffer with Down syndrome, although their appearance alone does not indicate Down Syndrome.
Is Brushfield Spots relevant to paramedics?
Not particularly, however it is important to recognise normal variances in eyes, such as pupil dilations, dots, etc, and determine if this is a normal variance or a pathological occurance.
In most cases Brushfield’s spots do not indicate any pathology.