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torpedo_maculopathy [2025/07/14 00:33] – Scott Larsontorpedo_maculopathy [2025/07/14 00:46] (current) – Scott Larson
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 ====Characteristics==== ====Characteristics====
-  * Single oval shaped lesions +  * Single oval shaped lesion of the RPE
   * Located close to the fovea   * Located close to the fovea
     * usually temporal and unilateral     * usually temporal and unilateral
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   * Causes a scotoma   * Causes a scotoma
     * Not associated with other vision loss     * Not associated with other vision loss
 +  * OCT
 +    * cleft of missing RPE or thin abnormal RPE
 +    * degeneration of photoreceptors and loss of outer segments
 +  * Fundus autofluorescence
 +    * dark in the area of the lesion
 +    * no leakage
 +  * Fluorescein angiogram
 +    * hyper-fluorescence 
   * In isolation not associated with other disease   * In isolation not associated with other disease
   * Can occur with other pigmented lesions typically seen in Familial Adenomatous Polyposis   * Can occur with other pigmented lesions typically seen in Familial Adenomatous Polyposis
  
-<WRAP round box 525px> +<WRAP round box> 
-{{:torpedo_maculopathy.jpg?500|}} +{{::torpedo_maculopathy_variation.jpg|}} 
-From reference [1]+Figure 3 from reference [2] \\ 
 +Variations in lesion pigmentation in torpedo maculopathy. 
 +(A) Lesion in patient 6, entirely hypopigmented. This allows visualisation of the deeper choroidal vessels and the sclera. (B) In patient 7, there is variable degree of hypopigmentation and a temporal region of hyperpigmentation within the lesion. (C) In patient 9, the lesion consists of only mild hypopigmentation with a hyperpigmented area within it. (D) The hypopigmented lesion in patient 4 consists of a hyperpigmented temporal crescent.
 </WRAP> </WRAP>
  
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 </WRAP> </WRAP>
  
-<WRAP round box> 
-{{::torpedo_maculopathy_variation.jpg|}} 
-Figure 3 from reference [2] \\ 
-Variations in lesion pigmentation in torpedo maculopathy. 
-(A) Lesion in patient 6, entirely hypopigmented. This allows visualisation of the deeper choroidal vessels and the sclera. (B) In patient 7, there is variable degree of hypopigmentation and a temporal region of hyperpigmentation within the lesion. (C) In patient 9, the lesion consists of only mild hypopigmentation with a hyperpigmented area within it. (D) The hypopigmented lesion in patient 4 consists of a hyperpigmented temporal crescent. 
-</WRAP> 
 ====References==== ====References====
   - [[https://1drv.ms/b/c/31d83ae8e55e0542/EXVs9aoVY0JFqZjkgR2sASgB8U6_kfkNWUJER-UzHUuPwA?e=qGlyM9|Traboulsi EI. Pigmented and depigmented lesions of the ocular fundus. Curr Opin Ophthalmol 2012;23:337-343]]   - [[https://1drv.ms/b/c/31d83ae8e55e0542/EXVs9aoVY0JFqZjkgR2sASgB8U6_kfkNWUJER-UzHUuPwA?e=qGlyM9|Traboulsi EI. Pigmented and depigmented lesions of the ocular fundus. Curr Opin Ophthalmol 2012;23:337-343]]
   - [[https://1drv.ms/b/c/31d83ae8e55e0542/EebmHanSc0NPmG6OhGgbbDsB7H1eVdtG6ovGbHVDMl9ZYQ?e=eB71Ha|Golchet PR. et al. Torpedo Maculopathy. Br J Ophthalmology 2010;94:302-306]]   - [[https://1drv.ms/b/c/31d83ae8e55e0542/EebmHanSc0NPmG6OhGgbbDsB7H1eVdtG6ovGbHVDMl9ZYQ?e=eB71Ha|Golchet PR. et al. Torpedo Maculopathy. Br J Ophthalmology 2010;94:302-306]]