Referral Guidelines

Consider referring a patient to a specialist as soon as uveal melanoma is suspected. Clinical features that increase suspicion for melanoma include lesion thickness > 2 mm identified on ultrasound, presence of subretinal fluid, orange pigment overlying the lesion, and proximity of the lesion to the optic disc (Jager et al, 2020). Working with a surgeon who specializes in ocular tumors will greatly improve patient outcomes.