Indocyanine green angiography in congenital hypertrophy of the retinal pigment epithelium

To report a case of congenital hypertrophy of the retinal pigment epithelium followed up for 7 years showing features not previously reported. A complete fundus examination including fluorescein angiography was performed at first examination and at follow-up. The area of congenital hypertrophy of the retinal pigment epithelium presented morphologic changes, showing enlargement of the lesion on one side associated with partial regression on another side. In addition, the indocyanine green angiography findings revealed that this test was more useful than fluorescein angiography to delineate the real boundaries of the lesion and disclosed hypofluorescent areas inside the main lesion that were not appreciated at ophthalmoscopy or fluorescein angiography. Indocyanine green angiography is an useful test to understand the findings and evolution of congenital hypertrophy of the retinal pigment epithelium.