Surgical conjunctival naevus removal specifically refers to excision using fine instruments, rather than laser or chemical methods, to remove a pigmented eye surface lesion.
When surgical removal is preferred
This approach is chosen when a naevus shows worrying change, causes irritation, or when a clear tissue sample is needed for laboratory analysis. Direct excision provides complete tissue for accurate diagnosis.
- Allows precise control over margins and depth
- Useful when the lesion lies close to the cornea or limbus
- Can be combined with grafting techniques for a neat result
- Often carried out as a short day case under local anaesthetic
Procedure steps and aftercare
The surgeon outlines and lifts the lesion, trimming it away from the underlying tissue. A graft or membrane may then be sutured or glued in place, and a bandage contact lens may be used to improve comfort.
- Expect redness and foreign body sensation for a few days
- Eye drops prevent infection and reduce inflammation
- Pathology results are usually discussed at follow up
- Sun protection and regular checks help maintain a healthy surface
