General

Domains: Clinical practice, Communication

No CPD Points

Optometrists regularly observe pigmented retinal and choroidal lesions when examining patients in the community. Being able to differentiate between benign and suspicious lesions that require monitoring or referral is an important clinical skill.

This filmed lecture by consultant ophthalmic surgeon, Professor Heinrich Heimann, that initially took place as a webinar will cover the following points:

  • Basic understanding of the aetiology and epidemiology of retinal and choroidal lesions.
  • Examination techniques (including traditional fundus examination and fields, scanning laser ophthalmoscopy, OCT etc).
  • Differential diagnosis of the more common causes including:
    • Choroidal naevus
    • Choroidal melanoma
    • CHRPE
  • Appropriate referral and monitoring.


First published: October 2020
Last reviewed: August 2024

    Learning outcomes

    Communication 

    s.2 Communicate effectively with patients 

    • Able to effectively advise patients presenting with pigmented fundus lesions about their ocular condition and any follow-up or referral required.

    Clinical Practice 

    s.5 Keep your knowledge and skills up to date

    • Understand how different imaging types (ophthalmoscopy, fundus camera, scanning laser ophthalmoscopy, OCT etc) can be used to detect and help diagnose pigmented lesions and understands the advantages and disadvantages of each.

    s.7 Conduct appropriate assessments, examinations, treatments and referrals 

    • Knowledge of how to differentially diagnose common pigmented lesions of the retina and understands which can be monitored in practice and when referral is required.

      Retinal and choroidal lesions in daily practice webinar (~52 mins)