Unilateral Torpedo Maculopathy in a 30-Year-Old Female: A Multimodal Imaging Case Report

Torpedo maculopathy is a rare congenital anomaly of the retinal pigment epithelium characterized by a solitary, torpedo-shaped hypopigmented lesion typically located temporal to the fovea. It is most often detected incidentally and is generally associated with preserved visual acuity. We report a case of unilateral torpedo maculopathy in a 30-year-old asymptomatic female, highlighting structural optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) findings. Structural OCT demonstrated localized outer retinal and retinal pigment epithelium alterations and user retinal cavitation with preservation of inner retinal layers. OCTA revealed focal flow attenuation at the level of the deep capillary plexus and choriocapillaris corresponding to the lesion, without evidence of choroidal neovascularization. Recognition of characteristic multimodal imaging features is essential for accurate diagnosis and appropriate patient reassurance.