---
title: Surgical conjunctival naevus removal
description: "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,…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/surgical-conjunctival-naevus-removal/"
updated: "2025-12-22"
category: "Treatments & Procedures"
---

# Surgical conjunctival naevus removal

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