Conjunctival naevus removal is a procedure to excise a pigmented “freckle” from the surface of the eye when there are changes, discomfort, cosmetic concerns, or uncertainty about the diagnosis.
What a conjunctival naevus is
A conjunctival naevus is usually a benign cluster of pigment cells on the white of the eye or at the edge of the cornea. Most remain stable but they should be monitored for changes in size, shape, or colour.
- Often first noticed in childhood or early adult life
- May contain tiny clear cysts seen on close examination
- Very rare cases can transform, so suspicious features are taken seriously
- Photographs help track appearance over time
How removal is done and recovery
Under local anaesthetic, the lesion is carefully cut away, usually with a margin of healthy tissue for safety. The bare area may be covered with a small conjunctival graft or amniotic membrane to leave a smooth surface.
- The eye can feel sore, gritty, and red for several days
- Lubricating and anti inflammatory drops aid comfortable healing
- The tissue is typically sent to the laboratory for confirmation
- Follow up visits check the cosmetic result and rule out recurrence
