Torpedo maculopathy with an anisometropic amblyopia in a 5-year-old Caucasian girl: case report

Abstract

The aim of this study is to report a clinical case of asymptomatic female Caucasian children with torpedo maculopathy. A 5-year-old girl was referred to our clinic for routine evaluation. The ophthalmic examination revealed best-corrected visual acuity of 20/20 in both eyes, without any changes in the biomicroscopy. Fundus examination showed normal findings in one eye, whereas in the contralateral eye it disclosed, in the temporal sector of the macular region, a whitish, atrophic, oval chorioretinal lesion with clearly defined margins. Posterior evaluations documented the stability of the lesion. Torpedo maculopathy diagnosis is based on its characteristic shape and peculiar location. The differential diagnosis has to be established versus choroidal lesions (melanoma and nevus), congenital or iatrogenic hyperplasia of the retinal pigment epithelium (RPE) and particularly versus the congenital pigmented lesions associated with Gardner's syndrome.

Torpedo macu-lopathy (clinical case)

“…ют у детей 7-12 лет [1,6,[8][9][10][11]. Острота зрения, как правило, не изменена, но в ряде случаев может быть выявлена амблиопия с максимально коррегированной остротой зрения 0,4-0,8 [8,11,12].…”

“…Офтальмоскопически выявляют беспигментный очаг овальной формы с четкими границами, расположенный в темпоральной части макулярной зоны (в редких случаях медиальный край может располагаться субфовеолярно), край очага, обращенный к фовеа, может быть заостренным и гиперпигментированным [6][7][8][9]13].…”