WAILEA, Hawaii — The notion that all pigmentation in the eye is melanoma is a “rumor,” according to a speaker at Hawaiian Eye 2021.
Based on fundoscopy and ultrasound, “We look in the eye, we see what the tumor looks like, we make the diagnosis,” Jesse L. Berry, MD, said.
Pigmented lesions that do not signify melanoma include congenital hypertrophy of the retinal pigment epithelium (CHRPE), melanocytoma, vortex varis and choroidal nevi, Berry said.
Every lesion that is both pigmented and elevated must be a melanoma or a high-risk choroidal nevus is another such