BSM Eye Clinic.
BSM Eye Clinic.
BSM Eye Clinic.
BSM Eye Clinic.
BSM Eye Clinic.
BSM Eye Clinic.
Conjunctival nevus: careful checks of spots and pigment changes on the white of the eye
About
When melanocytes become active, pigmentation like the moles that appear on the skin or face
can develop on the white of the eye (the conjunctiva).
A brown spot appearing on the white of the eye is called a conjunctival nevus.
A spot I’ve had for a long time seems to have gotten darker.
A spot has appeared on the white of my eye.
BSM Eye Clinic
BSM Eye Clinic
BSM Eye Clinic
In some cases, nevus cells are present from birth.
Although they exist from birth, the pigment can become active during adolescence or adulthood, making the spot darker or more noticeable.
Exposure to strong UV rays from sunlight continuously stimulates melanocytes, and chronic eye irritation from wind, dust or dry eye syndrome
can also promote the formation and growth of a nevus.
Small injuries from a habit of frequently rubbing the eyes can stimulate melanocytes
and cause a spot to form later in life.
Spots may also develop naturally with age.
Most conjunctival nevi (spots on the white of the eye) are benign and harmless, but in rare cases they can develop into malignant melanoma.
A sudden change in a nevus is a strong warning sign that the reason the spot is growing may be more than a simple mole.
Be sure to check for the following 4 key signs and visit an eye clinic.
1
Color change
The nevus suddenly turns a deep black, or several shades such as brown, black and blue
appear irregularly mixed within a single
spot.
2
Increase in size/thicknessThe nevus grows noticeably and rapidly (why spots on the eye get bigger), or it bulges out more than before with a thickness you can almost feel (nodule formation).
3
Irregular border
The edge of the nevus is no longer smooth and becomes uneven
or jagged. A blurred border spreading into the surrounding conjunctiva is also a warning sign.
4
New blood vessel formation
New red blood vessels that were not there before appear around the nevus, or the nevus itself becomes inflamed or bleeds.
Most conjunctival nevi are benign, but removal may be considered for cosmetic improvement or to manage the risk of malignant change.
At BSM Eye Clinic, we recommend the most suitable and safest treatment based on the depth, size and type of the nevus.
A special ophthalmic laser is used to break down the melanin
pigment in the nevus and finely cauterize and remove the surface epithelium
where the nevus is located.
Safe chemical agents such as alcohol are used
to gently remove the surface epithelium where the nevus is located.
When nevus cells lie deep or malignant change is suspected,
surgical removal is needed to minimize the chance of recurrence
and allow an accurate diagnosis.
BSM Eye Clinic takes into account every variable of a conjunctival nevus, which differs from person to person,
including depth, size and risk of malignancy,
and adds 25 years of accumulated expertise to deliver the safest
and most satisfying removal results without recurrence.
We’ve gathered the key questions patients ask most often
before starting treatment at BSM Eye Clinic.
Q.
A.
Yes. Most conjunctival nevi are benign, but in rare cases they can undergo malignant change.
If warning signs such as a growing spot, discoloration of a spot on the white of the eye or an irregular border are found,
removal should be seriously considered after a conjunctival nevus diagnosis.
Beyond cosmetic reasons, managing the risk of malignant change is an important purpose of removing spots on the white of the eye.
Q.
A.
The removal method depends on the depth of the nevus.
Laser treatment is used for shallow nevi, while surgery is used for deep nevi or those suspected of being malignant.
Whichever method is chosen, there is always a chance of recurrence, so skilled technique and thorough follow-up after removal are important to minimize it.
Q.
A.
In general, a conjunctival nevus is located on the white of the eye (the conjunctiva), not on the cornea where LASIK or LASEK is performed, so it does not directly affect vision correction itself.
However, if the nevus is very large or may obstruct the surgical field, removal of the spot may be recommended before surgery following a conjunctival nevus diagnosis.
Please consult an ophthalmologist for details.