Multimodal Imaging in CHRPE

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File number: 132881


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    Appears in
    6-Mar-2025
    Condition/keywords
    congenital hypertrophy of the retinal pigment epithelium (CHRPE), multimodal imaging
    Photographer
    Gerardo Montante-Montelongo, MD, Mexican Institute of Ophthalmology
    Imaging device
    Fundus camera
    Clarus 700
    Description
    Fundus photograph of an 83-year-old male with a history of Diabetes, smoking, cataract surgery on the right eye in 2022, and open-angle glaucoma. Asymptomatic. Indirect ophthalmoscopy revealed 80% excavation, peripapillary atrophy, and a hyperpigmented perifoveal lesion with 35% atrophy, 10% drusen, and 5.1 mm diameter, corresponding to a CHRPE. At multimodal imaging, FFA shows hypoautofluorescence of the lesion, OCT shows preservation of internal retinal layers, atrophy of external retinal layer, with an RPE disruption, and posterior shadowing. USG shows a flat hyperechoic lesion 5.1 mm in diameter and 1.32 mm in thickness, solid and with high internal reflectance.

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