The information provided is for informational purposes and is not medical advice or a substitute for ocular health or medical consultation with a health care professional. If over the age of fifty we query the patient about if they have ever had a colonoscopy and urge them to stay in compliance with their physician’s colorectal screening schedule.Īdults with a family history of colon cancer: We advise they schedule a colonoscopy or discuss scheduling one with their physician given the ocular finding and their family history. The guidelines we have developed for our patients with Bear Track Pigment at the EyeCare Center of Leesburg are:Ĭhildren and Young Adults (age < 30): We inform the patient (and parent for minors) of the significance of this finding and advise them to never delay a colonoscopy if recommended by a physician or as standard screening as they get older.Īdults without a family history of colon cancer: If under age fifty we advise them that they should have a colonoscopy at age fifty as is commonly recommended. In 2010 a study in the American Journal of Gastroenterology concluded that patients with such freckles should be referred for colonoscopies. Unfortunately, the polyps found in patients with FAP have a very high probability of becoming cancerous if left untreated. Patients with multiple or irregularly shaped CHRPE are the ones most likely to have FAP and are the ones we educate about the importance of preventive colon health care. Limited form of grouped pigmentation (bear tracks) in a 44-year. These groupings of round spots of various sizes can resemble paw prints so they are also called Bear Track Pigment. Limited form of grouped pigmentation (bear tracks) in a 44-year-old. Patients sometimes have just one CHPRE or they can have several, often found together in groups, somewhat like constellations of stars. 80% of patients with FAP have CHRPE.ĬHRPE is relatively easily detected during an eye examination, especially if the pupils are dilated or digital imaging/photography is performed. Congenital Hypertrophy of the Retinal Pigment Epithelium, referred to as CHRPE (“chirpy”), a form of freckling inside the eye has been associated with a hereditary condition known as Familial Adenomatous Polyposis (FAP) or Gardner’s Syndrome. Another reason to have your eyes checked regularly!įreckles in Your Eye Can Identify Risk of Colon CancerĪ common pigment spot in the retina can be associated with a hereditary form of intestinal polyps that may become cancerous.
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