Article Text

other Versions

Torpedo Maculopathy
  1. Pamela R Golchet1,
  2. Lee M Jampol1,
  3. Jeevan R Mathura, Jr.2,
  4. Mark J Daily3,*
  1. 1 Department of Ophthalmology, Northwestern University Feinberg School of Medicine, United States;
  2. 2 2Department of Ophthalmology, The George Washington University, Washington, DC, United States;
  3. 3 Department of Ophthalmology, Loyola University Medical School, Maywood, IL, United States
  1. Correspondence to: Mark Daily, Loyola University Medical School, 343 East Prairie Avenue, Wheaton, Illinois, 60187, United States; markjdaily{at}


Aim: To describe the fluorescein angiographic, fundus autofluorescence, and optical coherence tomography (OCT) findings in patients with a unique unilateral lesion of the temporal macula previously named torpedo maculopathy.

Method: This study was a retrospective, observational case series. The medical records of thirteen patients, age 1 to 68 years, seen between 1982 to 2009 were reviewed. Patients were evaluated for lesion features and course on follow-up, visual acuity, fluorescein angiography, visual field defects, fundus autofluorescence, and OCT findings.

Results: In all thirteen patients, the lesion was flat, torpedo shaped, solitary and involved the temporal macula. The hypopigmented lesion had well-defined margins and a characteristic leading edge which pointed toward the center of the macula. Fluorescein angiography revealed transmission hyperfluorescence of the lesion. OCT indicated a thin abnormal retinal pigment epithelium (RPE) signal and Humphrey Visual Field (HVF) testing revealed a corresponding blind spot. Fundus autofluorescence performed on one patient was dark in the affected area.

Conclusion: Torpedo maculopathy is an apparently congenital hypopigmented torpedo-shaped lesion of the temporal macula. Although it may result in a corresponding visual field defect, these non-foveal lesions do not affect central visual acuity.

Statistics from


    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.