This guideline last updated 09/05/2022 10:19:10

Differential diagnosis

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

Possible management by Optometrist

Treatment

• Observation in the community, unless evidence of progression

Advice

• Photographic documentation essential

Management Category

• No referral if no abnormal features present
• Urgent referral to ophthalmology if evidence of progression

Possible management by Ophthalmologist

• As above