CHRPES Congenital hypertrophy of the retinal pigment epithelium David Kinshuck |
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Congenital hypertrophy of the retinal pigment epithelium |
Familial polyposis coli patients have about a 50% risk of having CHRPE. Whilst this bowel condition can lead to bowel cancers, the eye changes are harmless...they are just patches of pigment in the retina, similar to a freckle. They are darker and more pigmented than naevi. CHRPEs are important findings in the relations of familial adenomatous polyposis patients (Gardner' syndrome) On the other hand very few patients with CHRPE have bowel cancer problems (see) If you are an ophthalmologist, or an optometrist familiar with CHRPE, what should you do? At a recent discussion (2008) with a retinal professor
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this is a darker CHRPE lesion. More typical lesions are lighter with a halo |
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