Background:A sensitive method is required to detect retinal hamartomas in patients with tuberous sclerosis complex (TSC).The aim of the present study was to compare the color fundus photography,infrared imaging (IFG),and optical coherence tomography (OCT) in the detection rate of retinal hamartoma in patients with TSC.Methods:This study included 11 patients (22 eyes) with TSC,who underwent color fundus photography,IFG,and spectral-domain OCT to detect retinal hamartomas.TSC1 and TSC2 mutations were tested in eight patients.Results:The mean age of the 11 patients was 8.0 ± 2.1 years.The mean spherical equivalent was-0.55 ± 1.42 D by autorefraction with cycloplegia.In 11 patients (22 eyes),OCT,infrared fundus photography,and color fundus photography revealed 26,18,and 9 hamartomas,respectively.The predominant hamartoma was type I (55.6％).All the hamartomas that detected by color fundus photography or IFG can be detected by OCT.Conclusion:Among the methods of color fundus photography,IFG,and OCT,the OCT has higher detection rate for retinal hamartoma in TSC patients;therefore,OCT might be promising for the clinical diagnosis of TSC.