top of page
Patient Presentation: A 23-year-old obese female was diagnosed with idiopathic intracranial hypertension (IIH) and referred to neurosurgery for ventriculoperitoneal shunt. A baseline ocular examination was performed prior to the procedure.
On examination, vision was 20/200 in the right eye, and 20/40 in the left eye. There was a right relative afferent pupillary defect. Slit lamp examination was normal.
A dilated fundus examination was performed demonstrating the following:
.png)
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.
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
bottom of page