Grouped Pigmentation in the Peripheral Retina

Abstract

Pigment spots are frequently found during ophthalmoscopic examination. Differential diag­noses to be considered include: retinal pigment epithelium (RPE) hypertrophy, choroidal nevus, choroidal melanoma, melanocytoma, true hyper­plasia of RPE, inflammatory pigmented fundus lesions, and pigmented colobomas. Table 1 summa­rizes methods for deciding on the possible cause for the pigmented area and its possible course.