Introduction:

congenital hypertrophy of the retinal pigment epithelium is a congenital hamartoma of the retinal pigment epithelium. It is seen as a typically benign pigmented fundus lesion. Sometimes, in its single-solitary presentation, it can be confused with a malignant pigmented lesion of the fundus.

Patient information:

two patients attended the retina clinic of the “Arnaldo Milián Castro” Hospital for different diseases. Per protocol, they underwent routine examination and were diagnosed, by chance, with congenital hypertrophy of the retinal pigment epithelium in its unique-solitary variant.

Conclusions:

congenital hypertrophy of the retinal pigment epithelium in its single-solitary form of presentation is not associated with any other ocular or systemic disease. Its diagnosis is casual, in a routine examination. The essential thing is not to confuse it with other malignant pigmented lesions of the fundus. Follow-up with color retinography and periodic observation are recommended.

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