Multimodal imaging of bilateral diffuse uveal melanocytic proliferation (BDUMP). A, Pseudocolor image (Optos) shows the “giraffe skin” pattern of hypopigmentation and hyperpigmentation (arrow). B, Autofluorescence (530 nm) shows that the hyperpigmented areas (arrow) correspond to hypoautofluorescence (green autofluorescence) and hyporeflectivity on IR imaging (C, left). These areas correspond to attenuation of the RPE on OCT (C, right). In addition, the hyperautofluorescent areas around the attenuation correspond to the hypopigmented areas on the color photograph. C, The OCT image highlights the thickened, disorganized choroidal architecture and the thickened RPE (thickened RPE corresponds to the hypopigmented, hyperautofluorescent, and hyperreflective areas on the color, autofluorescence, and IR images, respectively).