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A 13-year-old boy presented with a brown lesion at the limbus of the right eye. He first noted a “pin point” spot a few years ago, but it has grown rapidly in the past few months and now it measures close to 5 mm. The lesion has scalloped edges as shown in the photo and some vascularity is described. The boy is otherwise healthy and the eye examination is normal.

1.	A diagnosis that must be considered in this case is:
	a. melanotic cyst b. retained foreign body reaction c. amelanotic melanoma d. malignant melanoma e. Axenfeld loop
2.	A logical next step in this case would be:
	a. excisional biopsy b. plaque irradiation c. external beam irradiation d. observation e. none of the above
3.	Which of the following might be considered in treating this child?
	a. absolute alcohol b. topical mitomycin c. cryotherapy d. lamellar sclera flap dissection e. all of the above

For answers to the above, click here on or after October 18, 2011.