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Fig. 1 LE - fundus photo Fig. 2 autofluorescence Fig. 3 OCT

Photos courtesy of: Carol L. Shields, M.D.
Used with permission. 

A 56-year-old woman was referred with a diagnosis of optic disc melanocytoma in the left eye.  There is a family history of skin melanoma in sister, prostate cancer in brother and brain tumor in grandmother. In both eyes, visual acuity is 6/6 and anterior segment examination is normal. Fundus is within normal limits in right eye. Left eye fundus is shown above [Fig 1] along with autofluorescence [Fig 2] and OCT pictures [Fig 3].

1.	The most likely diagnosis is:
	a. choroidal nevus b. retinal pigment epithelium hyperplasia c. choroidal melanoma d.  congenital hypertrophy of retinal pigment epithelium (RPE)
2.	Any other investigations required for the diagnosis?
	a. FFA b. perimetry c. none of the above d.  all of the above
3.	Treatment for this condition is:
	a. observation and annual follow up b. laser photocoagulation c. cryotherapy d.  enucleation

For answers to the above, click here on or after March 4, 2008.