This guideline last updated 09/05/2022 10:18:53

Differential Diagnosis

• Choroidal naevus
• Congenital hypertrophy of retinal pigment epithelium (CHRPE)
• Subretinal or suprachoroidal haemorrhage
• Choroidal haemangioma
• Prominent vortex vein ampulla

Possible management by Optometrist

Treatment

• None

Advice

• Refer pigmented choroidal lesions to ophthalmology if
  • margin within 3mm of the optic disc
  • raised
  • presence of overlying orange pigment lipofuscin
  • sub-retinal fluid
  • sub-retinal haemorrhage

Management Category

• Urgent referral to ophthalmology
• vWhenever possible include an image of the lesion centred in the middle of the image

Possible management by Ophthalmologist

• Imaging
• Ultrasound
• Referral to tertiary centre for opinion