This 87YOM received thermal laser around a retinal break 23 years earlier. He presented to us without symptoms and 20/30 vision.
Optos imaging shows a small inferior congenital hypertrophy of the RPE (CHRPE) with a few tiny additional CHRPE lesions.
Confluent variably pigmented laser scarring around a superotemporal retinal break simulates an atrophic CHRPE lesion.
The operculum casts a shadow on the underlying retina, somewhat giving the impression of yet another pigmented lesion.
