Torpedo Maculopathy: A Systematic Review of Case Reports.

BACKGROUND AND OBJECTIVE Torpedo maculopathy (TM) is a rare macular lesion involving the retinal pigment epithelium (RPE). This paper describes a retrospective case report of TM. In addition, the authors present a comprehensive systematic review of 110 cases found in the literature. PATIENTS AND METHODS A search for the term "torpedo maculopathy" was conducted on PubMed, Embase, and Web of Science databases and yielded 62 relevant studies. RESULTS The majority of cases in the literature, including this case, reported an asymptomatic hypopigmented temporal lesion with occasional satellite lesions. Fluorescein angiography generally revealed hypofluorescence, whereas optical coherence tomography demonstrated RPE thinning as well as choroid hyperreflectivity. CONCLUSIONS This is the largest systematic review of torpedo maculopathy to date. The authors' findings confirm that it is a benign, nonprogressive, predominantly unilateral temporal lesion thought to arise during macular development. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:78-83.].