Optometry Continuing Education

OCT Academy - Tip of the Week (previous)

147. Choroidal Melanoma

Should you be concerned about this lesion?

Tip #147


This is a OCT image of the mid peripheral retina. Centrally, there is elevation at the level of the RPR/choroid. There is presence of both subretinal and intraretinal fluid. In addition, there is hyperreflectivity anterior to Bruch’s membrane. This area corresponded to an area of orange pigmentation (video).

This patient was diagnosed with a small melanoma.

In this tip's accompanying 19 min. video, Dr. Sharma takes you through additional diagnostic imagery as well as:

  • Review the cause of subretinal fluid
  • Walk through the case using the “TFSOM-UHHD” framework
  • Review the differential diagnosis of deep retinal lesions
Tip #147 Analysis


The presence of orange pigment increases the risk of a pigmented lesion being a small melanoma.

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