This 58YO female was referred for this unilateral, asymptomatic, variably pigmented lesion in her right eye. Vision was 20/25. Triton swept-source OCT shows outer retinal and RPE atrophy.
Learning Points:
Torpedo maculopathy was originally described by Gass as a solitary hypopigmented nevus of the RPE (Arch Ophthalmology 1992;1358-1359). These benign, unilateral lesions are teardrop-shaped and almost always located in the horizontal meridian in the temporal macula.
OCT scanning shows attenuation of the RPE and outer retinal layers. Vision is almost always normal, although there is a small risk of macular neovascularization. There are no known systemic associations.
