A case of congenital grouped albinotic spots

This case report presents a 5-year-old male child with a complaint of poor vision in the left eye for the past 2 years, who sought ophthalmic evaluation. There was no apparent systemic pigment loss, but multiple small, flat, and well-defined white lesions were observed in the retinal pigment epithelium of the left eye. Autofluorescence imaging of the fundus revealed widespread patchy hyperautofluorescence corresponding to the lesions. Fluorescein angiography demonstrated early and stable hyperfluorescence without leakage in these spots. Optical coherence tomography examination revealed thickening and material accumulation in the ellipsoid zone that corresponded to the lesions. Based on clinical findings, the diagnosis of congenital grouped albinotic spots was established.