Morpho-functional evaluation of torpedo maculopathy with optical coherence tomography angiography and microperimetry

Gabriela Grimaldi; Andrea Scupola; Maria G Sammarco; Michele Marullo; Maria A Blasi

doi:10.1016/j.ajoc.2018.02.019

Morpho-functional evaluation of torpedo maculopathy with optical coherence tomography angiography and microperimetry

Am J Ophthalmol Case Rep. 2018 Mar 3:10:165-168. doi: 10.1016/j.ajoc.2018.02.019. eCollection 2018 Jun.

Authors

Gabriela Grimaldi¹, Andrea Scupola¹, Maria G Sammarco¹, Michele Marullo², Maria A Blasi¹

Affiliations

¹ Department of Ophthalmology, Vitreoretinal Service, Catholic University of Rome, 00168 Rome, Italy.
² Department of Ophthalmology, Vitreoretinal Service, Ospedale Civile dello Spirito Santo, 65124 Pescara, Italy.

Abstract

Purpose: To report the case of a 13-year-old girl with torpedo maculopathy, evaluated with multimodal morpho-functional retinal imaging, including fundus photography, infra-red and blue fundus autofluorescence, swept-source optical coherence tomography (OCT), en face OCT, OCT angiography and microperimetry (MP).

Observations: On fundus examination, a torpedo-like hypopigmented lesion was observed temporal to the fovea in the left eye. OCT showed disruption of outer retinal layers and the presence of a subretinal cleft. On OCTA, a diffuse attenuation of signal from choriocapillaris was observed along the lesion. Functional analysis with MP revealed a reduction of retinal sensitivity over the lesion.

Conclusions: and importance: On OCTA, torpedo maculopathy is characterized by vascular alterations of the choriocapillaris along the lesion.

Keywords: En face optical coherence tomography; Microperimetry; Optical coherence tomography angiography; Swept-source optical coherence tomography; Torpedo maculopathy.