According to the culture committee’s research and documentation, Alexander Beartracks was among the sub-chiefs who signed the 1855 Hellgate and. The presence of eye bear tracks is a diagnostic feature of Gardner’s Syndrome, and their identification can aid in the early detection of the disorder. 1 This condition is usually unilateral and involves the peripheral retina. Bear Tracks On The Retina is a photograph by Paul Parker/science Photo Library which was uploaded on October 3rd, 2018. Caption. We describe the fundus findings of a 6-year-old girl with congenital grouped albinotic retinal pigment epithelial spots distributed over the fundus including the macular area. These lesions (“bear tracks”) typically increase in size as they approach the retinal periphery. 2 ± 6. Groups of the spots, as seen here, are commonly referred to as "polar bear tracks" due to their color and resemblance of animal footprints. Jones • Ophthalmology 3rd edition. The bear tracks (dark blotches) are due to congenital hypertrophy of the retinal pigment epithelium (CHRPE). of an 24-year-old woman with bear tracks. Image of the Week for May 2, 2021. 3. Wolf Tracks. Photographer: Yawei Dong. Fluorescein angiography demonstrates blocked choroidal fluorescence by the hypertrophied RPE and no leakage of dye. More recent studies using electron microscopy have shown CGP-RPE to be histologically dissimilar toUploaded on Nov 8, 2022. The multifocal variant of CHRPE is also known as congenital grouped pigmentation of the retina or “bear tracks. The family is concerned and would appreciate any information you can give us to explain this rare phenomenon. Retina Image Bank. Q14. Jul 12 2014 by David Callanan, MD. Stereoscopic Atlas of Macular Diseases. The 2023 edition of ICD-10-CM H35. and adjacent choroid/retina. ” A 2010 study [1] published in the American Journal of Gastroenterology concluded that patients with such freckles should be referred for colonoscopies after an earlier study found that CHRPE has a statistically significant correlation with hereditary. Atypical choroidal naevus in the left eye. Always Use a FilterCHPRE "Bear Tracks" on eyes. Case 2 is a 28-year-old male with a classical presentation of GCARPES in the left eye. ; Rating Appears in Bear Tracks CHRPE Myelinated NFL Condition/keywords bear tracks, myelinated nerve fibers, congenital. Image License and Citation Guidelines. ICD-10-CM H36 is a new 2024 ICD-10-CM code that became effective on October 1, 2023. ”. Download. Photographer: Yawei Dong. This test helps us discriminate between optic-nerve and retinal disease, detect early hydroxychloroquine toxicity, diagnose and distinguish between the various. The wider feet move forward while the rabbit steadies itself on the smaller inner paws. Applicable To. Q14. Imaging device: Optos California. 40 became effective on October 1, 2023. Do not run, shout, or make sudden movements. The typical isolated CHRPE represents a flat or minimally elevated pigmented, round or oval, well-delimited lesion that typically appears from the peripheral fundus. Well I crumble with nothing to say. Upload. Fig 4. Vertical scratch marks are usually at eye level, but may, in some cases, be as high as 12 feet off the ground. Find out more about the 2023/24 undergraduate or graduate tuition fees online. org More Than Meets the Eye. The retinal pigment epithelium (RPE) is a pigmented layer of the retina which can be thicker than normal at birth (congenital) or may thicken later in life. Black bear tracks are typically smaller and more compact. bony tumors on the skull and other bones. If CHRPE occurs in both eyes, it has been found to be associated with familial adenomatis polyposis (FAP). bear tracks; See more. View ophthalmological eye photos and clinical cases with annotations and disease information, educating medical doctors, professionals and students worldwide. Last modified by Joshua Friedman on Nov 9, 2022. They are nothing but pigment deposits and don't interfere with vision. 1097/IAE. 4/10/2023 0 Comments No symptoms or associations were found, and no abnormalities were found in the fellow eye. Rating Appears in Miscellaneous Condition/keywords bear tracks Description Bear tracks pigmentation in a 58-year-old asymptomatic female. Condition/keywords: amelanotic, bear tracks, congenital hypertrophy of the retinal pigment epithelium (CHRPE), pediatic retina These lesions (“bear tracks”) typically increase in size as they approach the retinal periphery. ” Typical solitary or grouped variants of CHRPE occur sporadically. David Kisling OD | Harmony Eyecare. The progression of diabetic retinopathy can get worse, and when you have the mild form of nonproliferative diabetic retinopathy, we estimate about a 6% chance of developing into the proliferative. 5” wide for rears. 52 - other international versions of ICD-10 H35. David W. Bear tracks on the retina of the eye, ophthalmoscope image. Condition/keywords: bear tracks, congenital hypertrophy of the retinal pigment. Specifically, hypertension may lead to multiple adverse effects to the eye that can inevitably cause cause retinopathy, optic neuropathy, and choroidopathy. RPE cells contain melanosomes of neuroectodermal origin that develop during the second trimester of development. Bear tracks (animal tracks, grouped pigmentation spots) are simply many small CHRPEs located in isolated small area of the retina. Email Dr. Jul 22, 2018 View all images of the week Rating 4 ratings Appears in Miscellaneous Condition/keywords bear tracks Photographer Giselle DeOliveira, University of Miami , Bascom Palmer Eye Institute Imaging device Fundus cameraUploaded on Jul 12, 2014. 411 H35. com (3 seconds ago) / US › Thaimassagelisbon. Yup. After googling what "Bear Tracks" can mean, I am horrified to learn that these. Adenomatous colonic polyposis Multiple gastric polyps Colon cancer Congenital hypertrophy of retinal pigment epithelium Duodenal polyposis Lipoma Thyroid nodule Abnormality of skin pigmentation Abnormality of the dentition Adrenocortical adenoma Desmoid tumors Epidermoid cyst Keloids Multiple unerupted teeth Osteoma Papillary thyroid. Finally, 1 eye demonstrated peripheral pigmentary changes and clustered atrophic lesions resembling grouped congenital albinotic spots (polar bear tracks). Imaging device: Topcon. Grouped Pigmentation of the Retina is another CHRPE variant made up of multiple lesions, giving it the appearance of animal tracks and the nickname “bear. 3 Glaucoma. Choose your favorite bear tracks designs and purchase them as wall art, home decor, phone cases, tote bags, and more!. orgBear Tracks and Trails. • In coloboma, a failure of complete closure of the choroid fissure results in a gap in the choroid and overlying dysplastic retina (intercalary membrane). Recent findings: The ophthalmoscopic and location differences between grouped pigmentation of the retinal pigment epithelium (bear tracks) and multiple POFLs. I read mixed things on internet saying bear tracks can be associated with colon disease and others saying they are not, but another type of lesion. M. It is believed that these spots may develop secondary to deposition of an abnormal white material in retinal pigmented epithelial (RPE) cells rather than the usual darkly pigmented melanin. H35. To date, very few cases of CGAS have been reported. 6. She recommended that I see both my primary care doctor and a gastroenterologist to check to see if this means I have something more serious going on. Call a poison control centre or doctor if irritation persists and develops. Routine colonoscopy performed in the preceding year was normal. H33. References • Peripheral Ocular Fundus 3rd edition by William L. Their large toe is on the outside of the foot and the small inner toe does not always register. The differential of these pigmented lesions includes solitary and grouped CHRPE, or “bear tracks. The 1,000-pound brute won't be far. Combined hamartoma of the retina and RPE in a 79-year-old woman. Bear tracks on the retina of the eye, ophthalmoscope image. Bear Tracks. The overall mean retinal area was 392. Paul Parker/science Photo Library. The annual incidence of RRD varies between 6. The tracks of black bears’ hind feet are about 3. Electro-oculographic findings are normal. We are at your service for special eyecare needs and as your advocate in finding help for rare eye conditions. Bear tracks on the retina of the eye, ophthalmoscope image. Retina Image Bank. ; Image of the week Sep 12, 2021 View all images of the week Rating 2 ratings Appears in Miscellaneous Condition/keywordsBear track. CHRPE represents a group of disorders that can have three varieties: unifocal CHRPE, multifocal CHRPE (“bear tracks”) or atypical multifocal CHRPE [4,5]. Views 9. H35. Bear Tracks. vector illustration. Rabbit. When observing a back footprint, notice the grizzly bear print has a pointed heel and lacks the wedged instep of a. The group may be composed of 2–30. Tomography, Optical Coherence / methods. Introduction. Black bear track in drying mud - left front foot. Keep an eye out for their tracks and trails along waterways. Figure 1. The condition is benign, although it may cause small visual field defects. These have not been reported to have the. Lesions tend to increase in size towards the fundus periphery; lack haloes and lacunae; and have been termed “bear tracks” due to their resemblance to animal footprints. Less frequent is the lesion known as Bear Tracks, found in 0. Black bear habitat - the dirt road on which the tracks above were found. 062S [convert to ICD-9-CM] Wear of articular bearing surface of internal prosthetic right knee joint, sequela. He was referred to be seen by gastroenterologist and have a colonoscopy given. Condition/keywords. A common pigment spot in the retina can be associated with a hereditary form of intestinal polyps that may become cancerous. Groups of the spots, as seen here, are commonly referred to as "polar bear tracks" due to their color and resemblance of animal footprints. Documentation and routine review. Lesions have characteristic "bear track confirguration," but do not . ” A 2010 study [1] published in the American Journal of Gastroenterology. Grouped Pigmentation of the Retina is another CHRPE variant made up of multiple lesions, giving it the appearance of animal tracks and the nickname “bear tracks”. Last modified by Caroline Bozell on May 18, 2021. 81. In our patient, they were predominantly located in the nasal retina, inferiorly in the right eye and superiorly in the left. Related Cases: California - Bear Tracks, RG, AF. Here, we discuss some of the novel OCT findings associated with systemic conditions with an emphasis on cardiovascular disease (Figure 1). Elles sont asymptomatiques et souvent de découverte fortuite. Les tâches en pattes d’ours ou Bear Tracks sont des lésions hyperpigmentées rares qui reflètent la migration des cellules de l’épithélium pigmentaire durant l’embryogenèse. This has broadened our understanding of retinal and macular pathology. Purpose: Clarify the differences between Familial Adenomatous Polyposis (FAP)-associated Congenital Hypertrophy of the Retinal Epithelium (CHRPE) and benign variants with regards to lesion characteristics and associated risk. ” Other than being multifocal, it is similar clinically and histopathologically to solitary CHRPE. In brown bear tracks, you often see long, curved claws that extend beyond the toe pads. 3 To some extent, green light is reflected by a healthy, intact RNFL. For example, figure 1 shows a choroidal nevus 1. Many dinosaur tracks have been found along the river and. 7 mm 2 for female bears ( p = . Available in the languages English, German, Spanish,. There are depigmented halos within the lesion. Practice. ICD-10-CM Diagnosis Code H59. Diagnosis of CGAS is. 3. When there is an isolated lesion, we are not concerned about the association with polyps or bowel cancer. Code History. 039 - other international versions of ICD-10 H33. Estimates based on reports from hunting. The presence of a few small (“hard”) drusen is. Fundus photograph of an 24-year-old woman with bear tracks. Find the lowest point of outside (largest) toe. All products are produced on-demand and shipped worldwide within 2 - 3 business days. They look similar to raccoon sign, except for the presence of the distinctive rear thumb. 9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 362. This condition tends to run in families and is treatable if diagnosed early. In atypical form the lesions are bilateral. While ocular technologies are useful in visualising peripheral retinal degenerations, the current evidence is fragmented throughout the literature and there is a paucity of information on imaging of "benign" peripheral lesions. Report. She saw what is called 'bear. 3. ; Rating Appears in Bear Tracks CHRPE Myelinated NFL Condition/keywords bear tracks, myelinated nerve fibers, congenital hypertrophy of the retinal pigment epithelium (CHRPE)optic neuropathy, bear tracks Photographer Karin Aletter Imaging device Fundus camera Topcon 50. Do not panic – your safety may depend on remaining calm. Bear Tracks is your admitted student portal and your next big step to becoming a Griz. By Brad Lovelace. It is thought to be part of the CHRPE (Congenital Hypertrophy of the Retinal Pigment epithelium) spectrum. 5 , 9 “bear tracks” are often seen by ophthalmologists and do not indicate a greater risk of developing intestinal cancer (1). When an ophthalmologist examined him, he stated he had "bear tracks" in his eye. Loblaw was a 32-year-old Caucasian man who. The 2024 edition of ICD-10-CM H33. Wolves are among the largest canines, and their paws are the biggest in the group with a long (4”) and wide print. Diffuse bear-track retina: profound, bilateral, grouped congenital pigmentation of the retinal pigment epithelium in an infant Oliver R. ; Rating Appears in Bear Tracks CHRPE Myelinated NFL Condition/keywords bear tracks, myelinated nerve fibers, congenital hypertrophy of the retinal pigment epithelium (CHRPE)Regardless of the distance, never approach a bear. A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. Many patients are unaware that IBD has a risk of eye complications and, therefore, patient education is vital. • Hypopigmented retinal epithelium due to a wide range of disease processes; cell may contain a low amount of melanin or there may be a complete absence of RPE. 449 Lattice degeneration of retina H35. Congenital grouped pigmentation of the retinal pigment epithelium (‘bear tracks’). Advanced retinal imaging may be able to help clinicians detect retinal complications associated with cardiovascular conditions. The retinal area was not calculated for Bear 1 OS, as the retina was incomplete after wholemounting. October 11, 2023. 21 - other international versions of ICD-10 D31. Maturi, MD on Dec 31, 2012. • Active lesions have ill-defined margins, sub-retinal fluid and yellow intra-retinal exudative material. What are the symptoms of bear track retinopathy? Symptoms include blurred vision, blind spots, and difficulty seeing in low light conditions. Bear Tracks On The Retina Photograph. Be alert while on the trail, and always be on the lookout for bears. Extraintestinal manifestations of inflammatory. Rarely, there are multiple pigmented lesions in the same area (bear-track lesions). (C) Ultra-widefield retinal image. The 2024 edition of ICD-10-CM D31. If a bear charges you. 4103/2347-5617. What is bear track retinopathy? Bear track retinopathy is a condition caused by exposure to solar radiation reflected off snow or ice, which can cause damage to the retina. . It belongs to the group of disorders called congenital hypertrophy of the retinal pigment epithelium (CHRPE). Nelson A 27-year-old man presented for a routine examination to refill a prescription for contact lenses. It covers a wide range of ocular symptoms and conditions, with references and illustrations, to help you in. These are rabbit tracks. Loblaw paid a visit to his regular eye doctor because he felt he was overdue for an eye exam. 019 - other international versions of ICD-10 H33. Kan være asymptomatisk Type av kongenit RPE-hypertofi Ufarlig og asymptomatisk Kan også være hvite (polar bear track). Imaging device: Topcon. 413 may differ. bear track retinopathy: A multifocal form of congenital hypertrophy of the retinal pigment epithelium or congenital grouped pigmentation of the retina, in which there are numerous groups of slate-grey or black lesions of varying size that radiate away from the optic disc. Peripheral fundus & its disorders Presented by Dr Rohit Rao. Lesions are. Top 10 related websites. Retina Image Bank. by Yanoff, Duker • Clinical ophthalmology 7th Edition - Jack Kanski • Wolff's Anatomy of the Eye and Orbit 8th by Bron, Tripathi. (C) Ultra-widefield retinal image. Généralement unilatérales, elles s’étendent de la papille vers la périphérie, et ne. He was asymptomatic for vision problems. ; Rating 1 rating Appears in CHRPE Condition/keywords congenital hypertrophy of the retinal pigment epithelium (CHRPE), bear tracksBear tracks retina Hue sync for mac Palmer greenbooks Dragon dictate app Webstorm community edition Be proud of yourself quotes Bartender 4 stops showing cd 1focus chrome extension Past synonym Snowfall cast season 4 Perfect365 apk unlocked Psychonauts 2 physical copy. After googling what "Bear Tracks" can mean Don't do that I am horrified to learn that these small freckles in the back of my eye mean that I have FAP This is not true. A project from. All other aspects of ocular health appeared normal and healthy. Henderson, MD Journal of American Association for Pediatric Ophthalmology and Strabismus {JAAPOS}Bear, any of eight species of large short-tailed carnivores found in the Americas, Europe, and Asia. 0000000000003552. H36 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Using ocular imaging technologies including ultra-widefield imaging and peripheral optical coherence tomography, we comprehensively describe current evidence and knowledge of a number of peripheral retinal degenerations and anomalies including microcystoid, pavingstone, lattice, snail track, snowflake and reticular. Results . Acyclovir. It is commonly seen in patients with familial adenomatous polyposis (FAP). The My Retina Tracker Program Panel, provided within this program by Blueprint Genetics, is a carefully curated 351-gene panel targeting relevant genes associated with IRDs. Animal Tracks - North American animals. Bascom Palmer Eye Institute Co-author(s): Audina Berrocal, University of Miami, Bascom Palmer Eye Institute. bear tracks; See more. Polar bear tracks. Related files. If you're returning later, head toward the bear. The congenital grouped albinotic spots (CGAS), also known as ‘polar bear tracks,’ is a rare retinal condition of unknown etiology. The new facility is less than a mile away from our current Huebner Road location. com (9 seconds ago) / USGreen, or red-free, light is better suited to visualize the retinal nerve fiber layer (RNFL), especially when cataracts are present. Maturi, MD on Dec 31, 2012. The 2023/24 tuition increase has been approved. Uploaded on May 14, 2021. (b,c) In contrast, pigmented ocular fundus lesions in patient with a known history of familial adenomatous polyposis demonstrate fewer lesions with an ovoid shape and surrounding halo. Last modified by Raj K. E75 Disorders of sphingolipid. In contrast, pigmented lesions in familial adenomatous. Footpads are bigger at the outer edges. Figure 1. Congenital hypertrophy of the retinal pigmented epithelium (CHRPE) lesions are typically solitary, flat, well-demarcated, hyperpigmented lesions of the retina. Posterior vitreous detachment. It’s another complication of IBD, Ali says. Seen with an ophthalmoscope, they do resemble animal tracks. com. Billable/Specific Code. RPE cells transport nutrients, ions, and water, phagocytose the outer rods and cones, maintain the blood-ocular border, metabolize vitamin A, secrete factors essential to the integrity of the retina structurally, convert all-trans. Bear tracks. The photograph may be purchased as wall art, home decor, apparel, phone cases, greeting cards, and more. While certain forms of CHRPE are associated with a higher risk of FAP or Gardner syndrome, "bear tracks" are are a benign finding and specifically not one of them. 2022 tax forms and receipts for students are available in Bear Tracks. He now found himself in our clinic being evaluated for a “suspicious lesion” in his right eye. The evidence found appears to support the theory that increasing atrophy is related to flat, overall enlargement of the lesion. The 2024 edition of ICD-10-CM H53. Photographer: Abby Orcutt-Hayes, Murray Ocular. A project from the American. Fig 4. Fresh black bear footprint in mud on hiking trail, Exit Glacier,. In the cochlea, the organ of Corti, the main sound-sensitive structure, has three rows of outer. D. ; Reviewed by Humberto Ruiz-Garcia, MD; Rating 1 rating Appears in 31Dec2012 Condition/keywords benign pigmented lesions, congenital hypertrophy of the retinal pigment epithelium (CHRPE), OD, bear tracksThe retina of 17 diagnosed FAP patients and 13 individuals at risk were examined. Lesions are generally larger and more frequent in the peripheral retina. 1 is grouped within Diagnostic Related Group (s) (MS-DRG v41. Eye contact: Hold eye open and rinse slowly and gently with water for 15 -20 minutes. And, yes, you should get evaluated by a GI doctor. 1 ). Although atypical, such lesions have been called congenital hypertrophy of the retinal pigment epithelium (CHRPE). Multiple areas of grouped CHRPE simulating the animal foot-print are also called "bear tracks". 52 became effective on October 1, 2023. Thirteen (76%) of 17 FAP patients (male-10, female – 7, median age - 30 years; range 15-55 years) had CHRPE lesions; seven (54%) had bilateral CHRPE lesions and six (46%) had unilateral lesions. Congenital hypertrophy of the retinal pigmented epithelium (CHRPE) lesions are typically solitary, flat, well-demarcated, hyperpigmented lesions of the retina. DO NOT fight back. Bear Tracks may be seen years before the cancer occurs so they may be a valuable. Egyptian Retina Journal | Sep-Dec 2014 | Vol 2 | Issue 3 | 114 Access this article online DOI: 10. There was no personal or family history of Gardner syndrome or any GI malignancy. 75 – 8. 21 may differ. Patient Retina Care Guides Find YOUR Retina Specialist American Society of Retina Specialists 20 North Wacker Drive, Suite 2030, Chicago , Illinois 60606 (312) 578-8760 phone info@asrs. Bear Tracks On The Retina is a photograph by Paul Parker/science Photo Library which was uploaded on October 3rd, 2018. Grizzly Bear Tracks in the Mud Found During a Hike. 419. H35. Groups of the spots, as seen here, are commonly referred to as "polar bear tracks" due to their color and resemblance of animal footprints. Bear tracks. Clinical manifestations include blurred vision, teary, burning or itchy eyes, ocular pain, photophobia, conjunctival or scleral hyperemia, loss of visual acuity, and possible blindness. Bear Tracks / CHRPE / Myelinated NFL. 1. Bear Tracks is the University of Alberta's secure self-service online system for employee and student information. Additionally, when a retinal lesion is identified, be sure to track its exact anatomical location using disc diameters (DD) as a guide. Not every patient with Bear Tracks will get colon cancer, but it is more likely if they are large, present in both eyes, and there are more than 3 or 4 spots in each eye. One eye had scattered subretinal hemorrhages external to the macula. M. Bears often leave tracks in mud, snow, or sand. Risk for retinal detachment. Bear Track Pigmentation This is an usual are of pigmentation in the retina, usually in one eye in one part that resembles the foot prints of a bear, hence its name. The 2024 edition of ICD-10-CM H33. D31. This list may not be. 059 Peripheral Retinal Degeneration TYPE RT LT BOTH SINGLE CODE UNSPECIFIED Age -related reticular degeneration of retina H35. This is the American ICD-10-CM version of H35. It is thought to be part of the CHRPE (Congenital Hypertrophy of the Retinal Pigment epithelium) spectrum. H35. A week prior to seeing us, Mr. This has broadened our understanding of retinal and macular pathology. In atypical form the lesions are bilateral. They can occasionally be seen in a grouped configuration resembling the footprint of an animal, or "bear tracks," as is seen in this photo. 164632 Website: on Oct 12, 2017. No family history of colon cancer reported. The lesions are often larger in the periphery and decrease in size nearer the discs thus resembling animal tracks; this condition is therefore often known as bear tracks (Shields and Shields, 1999). These have not been reported to have the potential to transform into adenocarcinoma but yearly evaluations may be prudent. The combination of. Lattice degeneration is a common, atrophic disease of the peripheral retina characterized by oval or linear patches of retinal thinning. Retina Image Bank. Tracks & Trails. -) 124 Other disorders of the eye with mcc or thrombolytic agent. H53. This retinal finding is considered benign and incidental for the majority of. 413 - other international versions of ICD-10 H35. Both solitary lesions and "bear tracks" are. Animals Tracks - North American animals - vector set. 40 - other international versions of ICD-10 H33. Inset shows a magnified cluster, highlighting the sharp borders and location deep to the retina (under the retinal vessels), consistent with localization at the level of the RPE. This is the American ICD-10-CM version of H35. 98. Related files2022 tax forms and receipts for students are available in Bear Tracks. 21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A bear’s track is five-toed; the claws are sometimes evident and sometimes not. 442 H35. Bear track pigmentation is significantly more visible on fundus autofluorescence, where it appears as paw prints. 2 cases per 100,000. CHRPE lesions. Generally located in the peripheral but may occasionally in the peripapillary. Purpose: Clarify the differences between Familial Adenomatous Polyposis (FAP)-associated Congenital Hypertrophy of the Retinal Epithelium (CHRPE) and benign variants with regards to lesion characteristics and associated risk. Submit Search. In addition, once your enrollment date is open you are able to directly enroll, without adding classes to your Shopping Cart. For information on registration and deadlines, review Registration and Courses. The front-feet tracks are often two inches long, and the rear feet are typically three inches long. Size. 12% of patients. Because clear foot prints are rarely present, the ability to recognize other bear sign is very helpful in tracking bears. (a) Optos photograph, showing the lesion involving the macular retina and RPE as well as the temporal optic disc. BEAR TRACKS Well, I know what your problem is. 06, unpaired Student's two-tailed t test, Table 1 ). ICD-9-CM 362. Retinal pigment epithelial (RPE) lesions can be primary or secondary, solitary or multiple and flat or raised (Table 6. File number: 1650. Retina-Vitreous Associates Medical Group Uploaded on Mar 1, 2014. no proptosis or ptosis, posteriorly no SVPs were noted; the optic discs were pink and flat; no emboli or retinal whitening present; some bear tracks located nasally (see photo). Both solitary lesions and "bear tracks". Unspecified retinal disorder. ICD-10-CM Q14.