This healthy 4YO girl presented for a one-year exam to check on a benign congenital hypertrophy of the RPE (CHRPE) lesion that was noticed one year earlier. Amazingly, an Optos was obtained at that time when she was 3YO.
Optos imaging at the current visit showed subtle yet definite concentric enlargement, as well as redistribution of the lesion’s central pigmentation.
Continued observation was recommended since these lesions have virtually no malignant potential.
Learning Points:
Although these lesions were historically thought not to grow, subtle growth occurs in the vast majority of eyes (see Shields et al, Ophthalmology 2003;110;1968-1973).
