Conjunctival Naevus Removal FAQs
Blue Fin Vision® consultants answer the most common questions about conjunctival naevus removal. From suitability to recovery, find reassurance and practical guidance to help you make an informed decision about treating your eye freckle.
What is a conjunctival naevus?
A conjunctival naevus, often called an eye freckle, is a pigmented spot on the conjunctiva, the clear membrane covering the white of the eye. Like a freckle on the skin, it forms from clusters of pigment-producing cells called melanocytes. Most conjunctival naevi are entirely benign and have been present since childhood or early adulthood. They may darken or become more noticeable with sun exposure or hormonal changes.
How can I tell if my conjunctival naevus needs removal?
Removal is typically considered for cosmetic reasons or if there are concerns about the nature of the lesion. You may wish to consider removal if the naevus affects your confidence, causes you anxiety, has changed in size, shape or colour, or causes mild irritation. Your consultant examines the lesion carefully to assess its characteristics and recommends whether removal is appropriate.
What conjunctival naevus removal treatment options are available?
Blue Fin Vision® offers two main treatment approaches. Argon laser thermocoagulation is the preferred option for most flat or superficial naevi, offering precise treatment with minimal scarring and rapid recovery. Surgical excision is recommended for raised, thick or complex naevi where laser treatment is not suitable. Surgical excision also allows the tissue to be sent for histopathology, confirming the diagnosis and excluding malignancy.
Is conjunctival naevus removal painful?
The procedure is not painful. Anaesthetic eye drops numb the eye completely before treatment. You may feel mild pressure during the procedure, but the treatment itself is comfortable. After treatment, mild discomfort, scratchiness or foreign body sensation is common for a few days but is easily managed with lubricating drops and simple pain relief if needed.
How long does the conjunctival naevus removal take?
Argon laser treatment typically takes approximately 30 minutes. Surgical excision may take slightly longer depending on the size and complexity of the naevus. Both procedures are performed as outpatient treatments, and you can go home the same day.
How long does recovery take after conjunctival naevus removal?
Most patients return to normal activities within 1–2 days. Redness in the treatment area is expected and typically fades over 1–3 weeks for laser treatment or 2–4 weeks for surgical excision. The full cosmetic result develops over 2–3 months as the area heals completely. Your consultant provides detailed aftercare instructions to support optimal healing.
What are the risks of conjunctival naevus removal?
Conjunctival naevus removal has an excellent safety profile when performed by experienced specialists. Common temporary effects include redness, mild discomfort and watering. Less common risks include scarring, recurrence and pigmentary changes. Serious complications such as infection or corneal damage are rare. Your consultant discusses all potential risks during your consultation.
Will the naevus come back after removal?
Recurrence is possible but uncommon when treatment is performed by experienced specialists. The risk is slightly higher with argon laser treatment than surgical excision, though overall rates remain low. If recurrence occurs, repeat treatment is usually possible. Protecting your eyes from UV exposure with sunglasses may help reduce the risk of new pigmented lesions developing.
Can conjunctival naevus removal be done on the NHS?
Conjunctival naevus removal is usually considered elective or cosmetic and is not funded by the NHS unless malignancy is suspected. Blue Fin Vision® offers prompt private access to advanced argon laser and surgical treatment, typically within weeks of enquiry. Histopathology analysis is included with surgical excision for complete peace of mind.
Why choose Blue Fin Vision® for conjunctival naevus removal?
Blue Fin Vision® is the principal UK provider of conjunctival naevus removal, having successfully treated hundreds of patients. Patients travel from across the UK and internationally for treatment. The clinic offers unrivalled experience, documented outcomes with extensive before-and-after photographs, and both argon laser and surgical options tailored to your specific naevus. All treatment is delivered within CQC-regulated facilities by consultant ophthalmologists.
