Retina

Case 37

Patient Presentation: A 46-year-old asymptomatic male is referred for evaluation of a retinal pigmented lesion. BCVA was 20/20 OU, no RAPD was detected, and visual fields were preserved. Fundus photograph and OCT OS were performed and are shown below.

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Question: What is the most likely diagnosis?

Question: What is the main abnormality seen on the OCT?

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Question: What is the most reasonable management plan for the patient?

Learning Objectives:

1. To diagnose and recognize choroidal nevus on OCT

2. To appreciate predictive factors for choroidal nevus transformation into choroidal melanoma