![]() ![]() To the best of our knowledge, this is the second report of 2 entities, i.e., congenital grouped pigmentation and albinotic spots in the retina, occurring simultaneously in the same individual. Therefore, we considered this condition as congenital grouped pigmentation and albinotic spots in the retina. Their fundus changes were very similar to those observed in the present case. described congenital grouped pigmentation of the retina in a girl and congenital albinotic spots of the retina in her sister. described a case of grouped pigmented lesions with nonpigmented, punctate lesions located within the macula. However, these fundus changes were very similar to those observed in the following 2 reports. In our present case, the size of albinotic spots was smaller than that of the pigmented spots, and the albinotic spots organized in patterns resembling drusen. retina, bear tracks are flat, well-demarcated, hyperpigmented lesions in the retinal. ![]() Congenital grouped albinotic spots are characterized by multiple, variably sized, sharply circumscribed, placoid, white lesions. In addition, a genetic consultation was not performed in this case.Ĭongenital grouped pigmentation of the retina is characterized by multiple, grouped, sharply circumscribed, pigmented spots. Although the patient's mother has undergone a colonoscopy to examine her adenomatous polyposis, abnormal findings were not detected. 3a, b) and an irregular pigmentation in the peripheral retina (fig. Ophthalmoscopic examination of the girl's mother revealed albinotic spots in the posterior pole (fig. 1c, d) and granular hyperfluorescence correlating with the albinotic spots (fig. Fluorescein angiography demonstrated a persistent hypofluorescence correlating with grouped pigmentation of the retina (fig. The albinotic spots were predominantly detected at the posterior pole of both fundi (fig. As a unique co-existing feature, small albinotic spots were identified in the posterior pole (fig. 1a, b), consistent with a grouped pigmentation of the retina or bear track spots. Ophthalmoscopy of both eyes revealed multiple, small, flat, pigmented spots in the peripheral retina (fig. Her visual acuity was 1.2 in both eyes.The anterior segment of both eyes was normal. Her medical and personal histories were unremarkable and her physical examination revealed no abnormalities. A 10-year-old asymptomatic Japanese girl was referred to our clinic for an ophthalmological examination of bilateral fundus discoloration. Background: It has been recently documented that multiple bilateral pigmented lesions at the level of the retinal pigment epithelium may be an indicator of patients with familial adenomatous polyposis who are prone to develop intestinal cancer, particularly if there is a positive family history of these intestinal disorders.
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