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Casey Hamm1, Diana Shechtman2, Sherrol Reynolds2

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Torpedo maculopathy, a rare congenital condition, presents unique optical coherence tomography (OCT) and OCT angiography (OCTA) findings. These advanced imaging techniques aid in understanding this unusual macular lesion.

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Area of Science:

  • Ophthalmology
  • Medical Imaging

Background:

  • Torpedo maculopathy is a rare congenital condition characterized by a distinctive 'torpedo-shaped' lesion temporal to the fovea.
  • This case highlights atypical findings in torpedo maculopathy, extending beyond classic funduscopic diagnosis.

Observation:

  • A 60-year-old woman presented with visual distortion and a paracentral scotoma in her right eye.
  • Fundus examination revealed a torpedo-shaped lesion; OCT showed a subretinal cleft, RPE thinning, and choroidal excavation.
  • OCT angiography demonstrated a hypo-reflective area in the choriocapillaris associated with the lesion.

Findings:

  • The case presented non-classic optical coherence tomographic (OCT) findings in torpedo maculopathy.
  • Collaborative OCT angiography (OCTA) provided further insights into the vascular characteristics of the lesion.

Implications:

  • OCT and OCTA are crucial for diagnosing and understanding various maculopathies.
  • Advanced imaging may offer deeper insights into the etiology and pathology of torpedo maculopathy, despite its current obscurity.