I have this small black ball in the corner of my tear duct for years. (photo)

Do I have to get surgery in order for it to be removed

Doctor Answers 7

Dark lesion of the caruncle

Generally pigmented lesions in this area should be checked by an oculoplastic surgeon, and removed. The removal may be done in an office setting with oral sedation, and topical anesthetic, followed by local anesthetic. Surgery in this area may lead to anxiety because of proximity to the eyeball, but with sedation and local anesthetic, you will probably be surprised that it is not as hard as you anticipate and the healing is swift. It's best to have the lesion removed, to know exactly what it is, and not have it there to cause you to worry. Best wishes.

Charlottesville Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Nevus of the Caruncle

The black spot is most likely a benign growth (nevus) of the caruncle. These are most commonly benign but malignancies have been reported. These can be safely removed by an oculoplastic surgeon.

David Schlessinger, MD
Long Island Oculoplastic Surgeon
4.8 out of 5 stars 17 reviews

This is most likely a caruncular nevus.

It is reasonable to have this assessed by an oculoplastic surgeon.  If appropriate, they can arrange to exicisionally biopsy the lesion.  It is considered a minor procedure with rapid recovery.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find an appropriately trained oculoplastic surgeon close to home.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Lesion in your caruncle

This lesion appears to be in area in your inner eye called the Caruncle.  It is very common to have cysts there, but occasionally cancerous growths may occur there.  Generally, this lesion can be removed by an oculoplastic surgeon, and depending on the size, may be able to be done in the office.  Definitely make sure a biopsy is sent for analysis to make sure it is nothing to worry about or that may require further treatment.  Good luck!

Jasmine Mohadjer, MD
Tampa Oculoplastic Surgeon
5.0 out of 5 stars 2 reviews

It seems you have some pigmented lesion over your caruncle.

these lesions usually are recommended to be removed, since there is difficulty with assessing if there is any change in the color or shape of them. My recommendation will be yes, you need to have it removed. 

Soheila Rostami, MD, FAAO, FABCS
McLean Oculoplastic Surgeon
5.0 out of 5 stars 15 reviews

Spot in the corner of my eye

  Like all pigmented lesions, or "spots," that come up out of nowhere, this one needs to be evaluated. Skin lesions need to be seen by a plastic surgeon or dermatologist, and lesions such as yours on or near the eye, must be evaluated by an oculoplastic surgeon. Find one and make an appointment right away. 

Erez Sternberg, MD
Jacksonville Plastic Surgeon
4.9 out of 5 stars 32 reviews

Small black hole in corner of eye?

Thank you for sharing your concerns and photo. The spot needs to be evaluated in person by an Oculoplastic Surgron with a slit lamp in order to give you proper guidance. Good luck,

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 144 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.