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Our results are also consistent with case reports in the literature, with a predominance of homogeneous brown areas and glomerular vascularization, although the cerebriform pattern was more common in our cases [18]

The presence of an elevated choroidal mass, even if of minimal thickness, in an eye with choroidal ODM is suspicious, and the detection of subretinal fluid and/or orange pigment is key to detection of early-stage choroidal melanoma

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A skin punch biopsy may be considered, if practical, before beginning topical treatment for IEC to assess tumour risk and confirm diagnosis