What are some known abnormal growths on the sclera?

Making any diagnosis from a photo is often challenging. Photos sometimes do not fully represent all the features of the lesion in question. An important question to consider is when the lesson was first noticed? Very commonly, long-standing pigmentation on the conjunctiva as seen on the photo can simply be a nevus, or “mole”. Spots that require closer medical attention are those that are of recent onset and progress rapidly (few weeks and months) as this may indicate the presence of a tumour instead. Quite frequently, there is no need to remove the nevus, as it is often harmless.

Any laser refractive surgery, whether LASIK, PRK, or SMILE changes the corneal shape. Sometimes more, and sometimes less, depending on the amount of spectacle power that is to be corrected. There are a number of different types of contact lenses, but basically, you can differentiate them into soft versus hard/rigid, and corneal versus miniscleral/scleral. Any of these lenses can be safe to wear after laser refractive surgery, provided that they are properly fitted by a qualified optometrist/ophthalmologist.