Retina

Case 38

Patient Presentation: A 47-year-old asymptomatic male is referred for evaluation of a temporal macula lesion. The patient reports that his “vision in the right eye has always been slightly worse” for unknown reasons. BCVA is 20/25 OD, 20/20 OS, no RAPD is detected, and visual fields show a central scotoma. Fundus photography and OCT macula OD were performed and shown below.

Retina 38-1.png
Retina 38-2.png

Question: What abnormality is NOT seen on the OCT above?

Question: Based on the OCT findings, clinical presentation, and fundus description, what is the diagnosis for this patient?

Question: What type of torpedo maculopathy does the patient have?

Question: What is the typical management / treatment plan for torpedo maculopathy?

References:

1. Golchet PR, Jampol LM, Mathura JR, Daily MJ. Torpedo maculopathy. Br J Ophthalmol. 2010;94:302-6

2. Teitelbaum BA, Hachey DL, Messner LV. Torpedo maculopathy. Journal of the American Optometric Association. 1997 Jun;68(6):373-376.

Learning Objectives:

1. To diagnose and classify torpedo maculopathy using OCT findings

2. To understand the management plan for patients with torpedo maculopathy