---
title: Conjunctival melanoma
description: "Conjunctival melanoma is a rare but potentially lethal cancer arising from pigment cells on the eye surface. It can develop from a pre-existing naevus or primary acquired melanosis. ## Presentation and risks Early recognition is vital for better outcomes. -…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/conjunctival-melanoma/"
updated: "2025-12-16"
category: "Conditions & Diseases"
---

# Conjunctival melanoma

Conjunctival melanoma is a rare but potentially lethal cancer arising from pigment cells on the eye surface. It can develop from a pre-existing naevus or primary acquired melanosis.

## Presentation and risks

Early recognition is vital for better outcomes.

- Pigmented or occasionally non-pigmented raised lesion on the bulbar or palpebral conjunctiva
- Possible feeder vessels, growth, or changes in colour
- Risk of local recurrence, scleral invasion, and distant metastasis
- Association with fair skin and UV exposure in some cases

## Treatment

Management aims for complete local control while preserving the eye where possible.

- Wide local excision with "no-touch" technique and cryotherapy
- Topical chemotherapy, brachytherapy, or radiotherapy for residual disease
- Regular systemic staging and oncologic follow-up
- Long-term surveillance for recurrence in both eyes