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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 7  |  Page : 1454

Concurrent solitary and multifocal congenital hypertrophy of the retinal pigment epithelium in a single eye


Ocular Oncology Service, Wills Eye Hospital, Philadelphia, PA, USA, India

Date of Web Publication25-Jun-2020

Correspondence Address:
Dr. Carol L Shields
Ocular Oncology Service, 840 Walnut Street, Suite 1440, Philadelphia, PA 19107
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2038_19

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How to cite this article:
Gopal AD, Kim JM, Shields CL. Concurrent solitary and multifocal congenital hypertrophy of the retinal pigment epithelium in a single eye. Indian J Ophthalmol 2020;68:1454

How to cite this URL:
Gopal AD, Kim JM, Shields CL. Concurrent solitary and multifocal congenital hypertrophy of the retinal pigment epithelium in a single eye. Indian J Ophthalmol [serial online] 2020 [cited 2020 Jul 10];68:1454. Available from: http://www.ijo.in/text.asp?2020/68/7/1454/287547



A middle-aged Caucasian male was found to have pigmented fundus lesions in the left eye (OS). Visual acuity was 20/20 in both eyes. Funduscopic examination OS revealed a 10 mm × 10 mm flat, well-delineated, homogenously pigmented lesion consistent with solitary congenital hypertrophy of the retinal pigment epithelium (CHRPE, [Figure 1]a black arrow). In addition, multifocal CHRPE, also known as bear tracks, were noted in the perimacular area [[Figure 1]a white arrows]. All lesions demonstrated hypoautofluoresence [Figure 1]b. The concurrence of solitary and multifocal CHRPE in one eye is rare. Gastrointestinal evaluation is not indicated for these lesions.[1]
Figure 1: Fundus photograph of the left eye demonstrates a 10 mm × 10 mm flat, well-delineated, homogenously pigmented lesion consistent with solitary congenital hypertrophy of the retinal pigment epithelium (CHRPE, a, black arrow). Multifocal CHRPE, also known as ”bear tracks,” are present in the perimacular area (a, white arrows). All lesions demonstrated hypoautofluorescence (b)

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  References Top

1.
Shields JA, Shields CL, Shah PG, Pastore DJ, Imperiale SM Jr. Lack of association among typical congenital hypertrophy of the retinal pigment epithelium, adenomatous polyposis, and Gardner syndrome. Ophthalmology1992;99:1709-13.  Back to cited text no. 1
    


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