To the Editor.
—A routine ophthalmologic examination of a 12-year-old boy revealed a visual acuity of 20/20 OU and normal examination results except for the presence of a solitary, sharply circumscribed, oval, pinkish-white, placoid lesion with a wedge-shaped "tail" at the level of the retinal pigment epithelium (RPE) in the macula of the left eye (Figure). There were ill-defined, more densely white spots scattered within the lesion that completely obscured all details of the underlying choroidal circulation. Amsler grid testing and Goldmann visual field examination revealed no abnormality corresponding with the lesion, which was interpreted as a hypopigmented nevus of the RPE. The patient's medical and family histories were unremarkable.Nevi of the RPE may be solitary or grouped, and may be melanotic (dark gray or black), albinotic (white), or hypopigmented (orange).1 Names previously used to describe melanotic RPE nevi include congenital hypertrophy of the RPE when solitary and
Roseman RL, Gass JDM. Solitary Hypopigmented Nevus of the Retinal Pigment Epithelium in the Macula. Arch Ophthalmol. 1992;110(10):1358-1359. doi:10.1001/archopht.1992.01080220020005