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Case report: Torpedo maculopathy in a pediatric patient
Alina Dumitru1, Daniela Goicea1, Irina Ștefan1
1Focus Optic Clinic, Bucharest, Romania.
Romanian Journal of Ophthalmology
|January 28, 2022
Summary
Torpedo maculopathy (TM), a congenital retinal lesion, was incidentally found in a pediatric patient during a routine eye exam. This asymptomatic condition requires long-term follow-up due to potential risks.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Congenital Abnormalities
Background:
- Torpedo maculopathy (TM) is an atypical, congenital retinal lesion characterized by its oval, torpedo-like shape.
- It is typically located in the temporal sector of the macula and is often asymptomatic.
Observation:
- A 7-year-old girl presented for a routine ophthalmological examination with no prior ocular history or symptoms.
- Fundus examination revealed a well-defined, hypopigmented lesion in the temporal macula of the left eye (OS).
- Optical coherence tomography (OCT) showed absent retinal pigment epithelium (RPE) and decreased outer retinal layer thickness in the affected area.
Findings:
- The case highlights an incidental diagnosis of torpedo maculopathy in a pediatric patient.
- OCT findings confirmed characteristic changes associated with TM, including RPE abnormalities and outer retinal thinning.
- The right eye (OD) showed no pathological changes.
Implications:
- Torpedo maculopathy is generally a benign condition but necessitates long-term monitoring.
- There is an increased risk of developing choroidal neovascular membranes, requiring vigilant follow-up.
- Early detection through routine examinations is crucial for managing potential complications.
