Neurosensory retinal detachment secondary to torpedo maculopathy
1The Eye Institute of the Pennsylvania College of Optometry at Salus University, Philadelphia, Pennsylvania, USA. yusu@salus.edu
Background:
Torpedo maculopathy has been characterized as a congenital retinal pigment epithelial (RPE) nevus.
Case:
A 38-year-old black woman presented with a chief complaint of intermittent floating spots in the right eye of 7 months' duration. Dilated fundoscopy found a "torpedo-shaped" lesion, with the tip of the lesion pointing toward the temporal macula. Visual field testing found a paracentral nasal defect, and optical coherence tomography (OCT) found a sensory retinal detachment.
Conclusion:
This lesion was unique because of the visibly detectable alterations seen in the photoreceptor layer of the retina and retinal pigment epithelium (RPE) in the setting of what was confirmed as a neurosensory retinal detachment. Torpedo maculopathy, although benign, may be visually devastating if its neurosensory etiopatholgy involves the macula. Even so, it rarely requires intervention.
