This healthy 7YO girl has been followed since she was 3YO for a benign congenital hypertrophy of the RPE (CHRPE) lesion. The CHRPE has shown 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 Point:
Although historically CHRPE lesions were thought not to grow, subtle growth actually occurs in the vast majority of eyes (see Shields et al, Ophthalmology 2003;110:1968-1973).
