A conjunctival naevus is a pigmented or slightly raised lesion on the white or surface of the eye that is usually benign. While many naevi can be safely observed, some are removed for diagnostic certainty, cosmetic reasons, or because of concerning changes. Understanding what conjunctival naevus removal entails helps you prepare for the procedure and recovery.[amazonaws]
Why a conjunctival naevus may be removed
Most conjunctival naevi are harmless and stable over time, but there are several reasons removal may be recommended. These include changes in size, colour, or shape, the appearance of new blood vessels, or difficulty monitoring the lesion due to its location. In other cases, the primary motivation may be cosmetic, especially if the naevus is prominent or causes self‑consciousness.[amazonaws]
Patients with conjunctival lesions, like those who question who is suitable for laser eye surgery before contemplating refractive therapies, naturally want to understand their own suitability for removal and the possible advantages. Removal permits the tissue to be inspected under a microscope (histopathology), resulting in reassurance and a definite diagnosis.[amazonaws]
What the procedure involves
Conjunctival naevus removal is usually performed under local anaesthesia as an outpatient procedure. Anaesthetic drops and sometimes a small injection are used to numb the area so you remain comfortable. The surgeon carefully excises the naevus along with a small margin of surrounding tissue, taking care to preserve the underlying structures.[amazonaws]
Depending on the size and location, the area may be closed directly or reconstructed using a small graft of healthy conjunctiva from another part of the eye. The removed tissue is then sent for histological analysis.[amazonaws]
Pain, comfort, and immediate aftercare
During the procedure, most patients feel pressure or movement but not sharp pain. Afterwards, it is common to experience mild discomfort, a sensation of grittiness, and visible redness. Lubricating drops, topical antibiotics, and sometimes anti‑inflammatory medication are prescribed to support healing and reduce irritation.[amazonaws]
A protective eye pad may be used initially, and clear instructions are given regarding eye hygiene and activity restrictions.[amazonaws]
Recovery and cosmetic outcome
The eye surface typically heals over days to a couple of weeks, though redness and localised swelling can take longer to fully settle. As healing progresses, the area generally becomes less noticeable, and cosmesis improves. For many patients, removal of a conspicuous naevus leads to a more uniform appearance that feels easier to live with socially and professionally.[amazonaws]
Final cosmetic results depend on the size and position of the lesion, the need for grafting, and individual healing response. Pre‑operative photographs and discussion can help set realistic expectations.[amazonaws]
Risks and possible complications
Conjunctival naevus removal is generally low risk, but potential complications include infection, scarring, graft irregularity, or, rarely, recurrence of pigmentation. Appropriate surgical technique and follow‑up reduce these risks. If the histology report suggests atypical or malignant features, further treatment or monitoring may be advised.[amazonaws]
Your surgeon will explain the specific risk profile in the context of your lesion and overall eye health.[amazonaws]
Costs, planning, and decision-making
Costs can vary depending on the complexity of the removal and whether grafting is required. Dedicated treatment pages and cost guides help outline typical fee structures and what is included. In deciding whether to proceed, patients weigh the benefits of diagnostic certainty and cosmetic improvement against the temporary discomfort and small risk of complications.
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A thorough consultation that includes slit‑lamp examination, photography, and discussion of concerns provides the basis for an informed, confident decision.[amazonaws]
A targeted procedure with dual benefits
Conjunctival naevus removal serves both medical and cosmetic purposes: confirming the nature of a lesion while improving appearance in many cases. For those who are worried about change, or simply tired of a visible mark on the eye, the procedure offers a targeted solution with a well‑understood recovery course. Knowing what to expect at each step makes the process more predictable and less daunting.[amazonaws]
