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Year : 2023  |  Volume : 37  |  Issue : 1  |  Page : 63-65

Multimodal imaging of torpedo maculopathy with optical coherence tomography angiography

1 University of Sousse, Ibn Jazzar Medical School; Department of Ophthalmology, Farhat Hached University Hospital, Sousse, Tunisia
2 Department of Ophthalmology, Farhat Hached University Hospital, Sousse, Tunisia

Correspondence Address:
Leila Knani
16, Rue Ennozha, Hergla 4012, Sousse
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjopt.sjopt_9_21

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A 24-year-old woman presented for routine clinical evaluation. Her best-corrected visual acuity was 20/20 and slit-lamp examination of the anterior segment was normal in both eyes. Fundus examination of the left eye revealed a hypopigmented lesion, one disc diameter temporal to the fovea, with a hyperpigmented tail extending temporally from the main lesion, consistent with a torpedo maculopathy. Fundus autofluorescence showed an hypoautofluorescence with hyperautofluorescent border. Swept-source optical coherence tomography (OCT) showed a normal inner retina and a degeneration of the outer retina without retinal cavitation. OCT angiography (OCT-A) of the choriocapillaris layer revealed reverse shadowing caused by the increased transmission from the atrophied outer retina and RPE within the torpedo lesion and attenuation of signal in the area of the temporal hyperpigmentation. The superficial capillary plexus was normal. This case includes a multimodal imaging with OCT-A of torpedo maculopathy in a Tunisian woman. Further reports are required to provide a better understanding of this rare condition.

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