| Front | What are the predictive factors for malignant transformation of a choroidal nevus to a melanoma? |
|---|---|
| Back | ● TFSOM-UHHD ○ Thickness > 2 mm ○ Fluid, subretinal ○ Symptoms: flashes and floaters, decreased visual acuity ○ Orange pigment ○ Margin within 3 mm of the optic disc ○ Ultrasound hollowness ○ Halo absence ○ Drusen absence ● Monitoring: ○ If no features: monitor q6 months initially and then annually if no changes ○ 1-2 features: monitor q4-6 months ○ 3 or more features: refer to ocular melanoma center |
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