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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.
Question: What is the most likely diagnosis?
Question: What is the main abnormality seen on the OCT?
Question: What is the most reasonable management plan for the patient?
1. To diagnose and recognize choroidal nevus on OCT
2. To appreciate predictive factors for choroidal nevus transformation into choroidal melanoma
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