David C Sousa, MD PhD FRANZCO » Congenital Simple Hamartoma of the Retinal Pigment Epithelium

May 16 2022 by David C Sousa, MD PhD FRANZCO

A 49-year-old man was referred after an incidental finding in the right eye macula. Best-corrected visual acuity was 20/25. Anterior segment examination was unremarkable. Fundoscopy revealed a juxta-foveal heavily pigmented well-demarcated slightly elevated lesion measuring 0.4 x 0.4 mm. No other changes were observed adjacent to the lesion or elsewhere in either eye. Optical coherence tomography revealed an area of retinal elevation with high optical reflectivity and posterior shadowing. The findings are consistent with congenital simple hamartoma of the retinal pigment epithelium. Given the benign, non-progressive and usually asymptomatic nature of this condition, most patients are diagnosed in adulthood.

Imaging device: Topcon Maestro2

Condition/keywords: retinal pigment epithelium (RPE) hamartoma

May 16 2022 by David C Sousa, MD PhD FRANZCO

A 49-year-old man was referred after an incidental finding in the right eye macula. Best-corrected visual acuity was 20/25. Anterior segment examination was unremarkable. Fundoscopy revealed a juxta-foveal heavily pigmented well-demarcated slightly elevated lesion measuring 0.4 x 0.4 mm. No other changes were observed adjacent to the lesion or elsewhere in either eye. Optical coherence tomography revealed an area of retinal elevation with high optical reflectivity and posterior shadowing. The findings are consistent with congenital simple hamartoma of the retinal pigment epithelium. Given the benign, non-progressive and usually asymptomatic nature of this condition, most patients are diagnosed in adulthood.

Imaging device: Topcon Maestro2

Condition/keywords: retinal pigment epithelium (RPE) hamartoma