What is a Conjunctival Naevus and When Should It Be Removed?
A conjunctival naevus is a pigmented growth that usually appears during childhood or adolescence. While it often remains stable for years, any sudden changes in appearance should be evaluated by an eye specialist. Conjunctival naevus removal may be necessary if there's irregular pigmentation, increased vascularization, or the patient experiences irritation or cosmetic concerns. Ophthalmologists use various diagnostic tools, including slit-lamp examinations and imaging, to assess whether removal is necessary. In rare cases, a biopsy or histopathological examination might be conducted post-removal to rule out malignancy.
How is Conjunctival Naevus Removal Performed?
The procedure for conjunctival naevus removal is relatively straightforward and is typically performed under local anesthesia. A small surgical incision is made to excise the lesion while preserving the surrounding healthy tissue. The removed tissue is usually sent for pathological analysis to ensure it is benign. The surgery usually takes less than 30 minutes and is done on an outpatient basis. Post-operative care includes antibiotics and anti-inflammatory eye drops to reduce the risk of infection and inflammation. Most patients experience minimal discomfort and can resume normal activities within a few days, though full healing may take a couple of weeks.
What Are the Risks and Recovery Expectations?
As with any surgical procedure, conjunctival naevus removal comes with some risks, although complications are rare. These may include infection, scarring, conjunctival irritation, or, in very rare cases, recurrence of pigmentation. Following post-operative care guidelines is crucial to ensure smooth recovery. Patients are advised to avoid rubbing their eyes, exposure to dust or smoke, and strenuous activity during the recovery period. Regular follow-up visits with the ophthalmologist help monitor healing and prevent complications. Cosmetic results are generally positive, especially when performed by experienced eye surgeons.
Conclusion
Understanding the process and implications of conjunctival naevus removal can greatly ease patient anxiety and encourage timely medical intervention when necessary. Whether for medical or aesthetic reasons, consulting an ophthalmologist is the first step in assessing the nature of the naevus and determining the best course of action. With modern techniques, the removal of conjunctival naevi is safe, and effective, and typically results in excellent outcomes for both vision and appearance.