title: Bilateral multifocal choroidal melanosis: a report of two cases.
abstract: Flat choroidal pigmented lesions have few differential diagnoses but encompass a wide range of clinical presentations. The authors report two cases of bilateral multifocal choroidal hyper-pigmented patches discovered in asymptomatic patients. Fluorescein angiography showed a normal pattern without blockage in the hyperpigmented areas with an otherwise normal choroidal vascular architecture. Optical coherence tomography with enhanced depth imaging demonstrated normal choroidal thickness and structure in the hyperpigmented areas. These cases may represent an atypical presentation of previously described bilateral isolated choroidal melanocytosis or a different clinical entity. Histopathological evidence and longer follow-up of these patients and patients with isolated choroidal melanocytosis may elucidate the best descriptive term for this unusual condition.
authors: Ocular Oncology Clinic, Princess Margaret Hospital/University Health Network, Toronto, Canada. doctorjpvm@gmail.com
authors: Juan P
authors: JP
authors: Velazquez-Martin
authors: Hatem
authors: H
authors: Krema
authors: Chloe C
authors: CC
authors: Gottlieb
authors: E Rand
authors: ER
authors: Simpson
authors: Charles J
authors: CJ
authors: Pavlin
mesh_terms: D015862:Choroid Diseases / Q000175:diagnosis*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D008544:Melanocytes / Q000473:pathology; D008548:Melanosis / Q000175:diagnosis*; D008875:Middle Aged; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology