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Case Reports in Ophthalmological Medicine
Volume 2012 (2012), Article ID 654502, 3 pages
Case Report

Congenital Simple Hamartoma of Retinal Pigment Epithelium: Clinical and Imaging Findings

1Retina Department, Ulucanlar Eye Research and Training Hospital, 06460 Ankara, Turkey
2Department of Ophthalmology, Ankara University Medical School, 06460 Ankara, Turkey

Received 21 November 2011; Accepted 24 January 2012

Academic Editor: W. M. Amoaku

Copyright © 2012 Mehmet Yasin Teke et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Congenital simple hamartoma of retinal pigment epithelium (CSHRPE) is a rare, asymptomatic, and incidentally detected benign lesion. However, it is very important to do the differential diagnosis from other pigmented retinal lesions. Its clinical presentation and imaging findings are very helpful in doing this differentiation. This paper presents clinical and imaging findings of a 56-year-old woman with incidentally detected CSHRPE. The lesion was small, heavily pigmented, well circumscribed, and slightly elevated. Optical coherence tomography (OCT) scanning was diagnostic and showed an elevated retina at the site of the lesion, increased optical reflectivity on its inner surface, optical shadowing of deeper structures, and clearly cut tumor margins. Ocular ultrasonography, fluorescein angiography, and fundus autofluorescence imaging which is firstly described in this report did not show any characteristic finding.