For a high-risk ocular nevus, what is the recommended follow-up schedule?

• A. Every 3 months, 6 months, and 1 year
• B. Every 6 months for 2 years
• C. Every 2 weeks
• D. Annually only

Answer: (A)

Monitoring a high-risk ocular nevus centers on catching early changes that could indicate malignant transformation. The recommended plan—visits every 3 months for the first year, then at 6 months, and then at 1 year—provides tight surveillance during the period when changes are most likely to occur. This cadence allows clinicians to detect small increases in size, new subretinal fluid, pigment changes, or other evolving features with serial imaging (such as fundus photography and ultrasound or OCT) and intervene promptly if progression is seen.

A longer interval, like every 6 months for two years, risks missing early growth or transformation, while a schedule as frequent as every 2 weeks is impractical for routine monitoring and often unnecessary if the lesion remains stable. An annual follow-up only would miss important changes that can develop within months. The chosen plan strikes a balance between careful, timely detection and feasible patient care.