Abstract
Congenital hypertrophy of the retinal pigment epithelium usually occurs as a solitary lesion, although the lesions can occur in groups. They are black or gray-brown and in young patients are easily identified because of a depigmented “halo” that surrounds the lesion. The lesion is usually round, although it can be oval, and for the most part is flat. As the individual ages, the pigmentation atrophies; usually the black pigment loses its color, leaving a lesion that ultimately becomes round and centrally depigmented. There is often a “halo” of depigmentation around the lesion.
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Selected Reading
Buettner H (1975). Congenital hypertrophy of the retinal pigment epithelium. Am J Ophthalmol 79: 177–189
Cleary PE, Gregor Z, Bird AC (1976). Retinal vascular changes in con-genital hypertrophy of the retinal pigment epithelium. Br J Ophthalmol 60: 499–507
Lewis RA, Crowder WE, Eierman LA, et al (1984). The Gardner syndrome: significance of ocular features. Ophthalmology 91: 916–925
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© 1993 Springer Science+Business Media New York
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Orellana, J., Friedman, A.H. (1993). Congenital Hypertrophy of the Retinal Pigment Epithelium. In: Clinico-Pathological Atlas of Congenital Fundus Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9320-7_34
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DOI: https://doi.org/10.1007/978-1-4613-9320-7_34
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-9322-1
Online ISBN: 978-1-4613-9320-7
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