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Putting your needs first is a commitment our highly trained retina specialist and our ocular oncologist, Dr.
During your appointment, you can expect a lot of testing, questions asked, and decisions to be made about your vision and future health. Having an experienced eye care team who is determined to provide you with customized care is a great way be proactive with your CHRPE. There is a very, very tiny chance that the CHRPE could evolve into a growing tumor. CHRPEs can appear on retinal photographs to grow slowly in size over time, but even when they grow, patients rarely notice decreased vision. Your treatment plan may involve regular exams of the retina to study the lesion for changes in size, shape, and color. When a patient presents with a single lesion on the eye, there is generally no treatment and prognosis is good. At all of our locations in Southeast Texas, we provide our patients with an examination and a combination of diagnostic tests to assess the overall health of your retina. Routinely found in an annual eye exam with your primary eye care provider, it is also very important to go to a retinal specialist to confirm the diagnosis. It is important to have both a retinal examination and routine colonoscopies. Schefler will refer you to a gastroenterologist and/or geneticist for further testing if you have this disorder.
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Patients with this syndrome can have colon cancer and skin tumors in addition to the retinal findings. Rarely, patients who have multiple CHRPEs, and/or bilateral (both eyes) CHRPEs, or CHRPEs with certain characteristic features are found to have Gardner’s Syndrome (a genetic condition also called familial adenomatous polyposis).
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Many CHRPEs are in the retinal periphery and are difficult to detect without a full retinal exam by a specialist, so CHRPE often goes undetected until late adult life. The CHRPE is congenital, meaning that patients who have it are born this way. Most patients seeking diagnostic testing or treatment for CHRPE have the lesions on the outside (temporal) half of the fundus (the interior surface of the eye opposite of the lens). They are usually identified in adult life and cause no functional vision loss. Many CHRPEs are in the retinal periphery and are difficult to detect without a full retinal exam by a retina specialist, so they often go undetected for some time. If the CHRPE is positioned in the center of the retina (or macula), it may cause poor vision.
There are subtle differences in symptoms in correlation with the placement of the CHRPE, such as: Center of the Retina Location of the CHRPEīased on the location of the CHRPE or multiple lesions on the retina, your eye care provider may not have access to a full view of what is there in or on the sides of your retina. Visit any of our locations in Southeast Texas to learn more about this congenital condition. In the vast majority of cases, CHRPE is a benign finding that never causes a problem with vision or life. This is a congenital condition meaning you are born with it, but it may go undetected until later in adulthood. It can be detected in an eye exam by your primary optometrist, ophthalmologist, or retina specialist. You can't see the hypertrophic lesion or "spot" just by looking in your eyes. The pigmentation of the lesion can range from a light gray to black.ĬHRPE is a great example of why you should get your eyes checked at least once a year. Common Eye Surface Problems - Blepharitis, Dry Eye, Subconjuntival HemorrhageĪ flat, pigmented spot within the outer layer of the retina at the back of the eye is called a congenital hypertrophy of the retinal pigment epithelium (CHRPE).Idiopathic Parafoveal Telangiectsasia (PFT).Central Serous Retinopathy / Chorioretinopathy.Retinal Artery Occlusion (CRAO and BRAO).Peripheral Retinal Pathology - Lattice Degeneration, White Without Pressure, Pigmented Lesions and Masses.Panretinal Photocoagulation (PRP) Laser.
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