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Pigmented lesions of the choroid and retina are commonly encountered by optometrists in everyday practice. The increasing use of retinal imaging and indirect ophthalmoscopy amongst community optometrists means more lesions will be identified. Important clinical decisions must be made about the appearance of the lesion, the likely diagnosis and whether to monitor or refer for a second opinion.
In cases where an ophthalmological opinion is required the priority of referral needs considering. Many texts and online resources are available to the practitioner to help with diagnosis. However, to research a lesion in a standard text book requires the diagnosis. To help with such quandaries a web-based atlas of ocular tumours has been developed, categorising lesions by their position and colour rather than diagnosis (fig 1. www.eyetumours.com). This article aims to summarise the important clinical features when seeing such patients and reviews the different pigmented lesions found in the choroid and retina.
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