Multifocal congenital hypertrophy of the RPE (CHRPE) in “bear tracks”

UWF color retinography (Clarus 700, Zeiss): multiple pigmented lesions grouped in “bear tracks” in the lower nasal sector.

Retinography Red filter (Clarus 700, Zeiss): Pigmented lesions are faintly visible with a red filter

Green Background Autofluorescence (Clarus 700, Zeiss): Pigmented lesions appear as perfectly demarcated hypoautofluorescent lesions.

Dr. Pablo Gili Manzanaro.

Description

Grouped HCEPR are small, multiple, well-demarcated, flat pigmented lesions grouped in a “bear print” pattern with a sectoral distribution. They are usually incidental findings, not associated with general diseases.

Comments

A 45-year-old woman who, during a routine check-up, showed grouped pigmented lesions in the lower nasal sector of the right eye. These lesions are best visualized with fundus autofluorescence.

Indication

A 45-year-old woman who, during a routine check-up, showed grouped pigmented lesions in the lower nasal sector of the right eye. These lesions are best visualized with fundus autofluorescence.