Muhiddin Fatih Bodur, Ahmet Özdemir, Nurullah Koçak
Retina-Vitreus - 2025;34(4):336-340
Purpose: To present a pediatric case of Type 2 torpedo maculopathy with distinct choriocapillaris flow reduction demonstrated by optical coherence tomography angiography (OCT-A), highlighting the potential prognostic value of vascular assessment in this condition. Case Presentation: A 7-year-old girl was found to have a well-defined hypopigmented lesion in the inferotemporal macular region during routine examination. Visual acuity and anterior segment findings were normal. Spectral-domain optical coherence tomography (SD-OCT) revealed outer retinal thinning, ellipsoid zone disruption, and focal choroidal excavation, consistent with Type 2 torpedo maculopathy. OCT-A demonstrated reduced vascular density at the choriocapillaris level, while fluorescein angiography and fundus autofluorescence showed changes compatible with retinal pigment epithelium alteration. Conclusion: This case underscores that torpedo maculopathy, particularly Type 2 forms in pediatric patients, may involve microvascular alterations detectable with OCT-A. These findings suggest that the condition may not always be structurally static and that periodic OCT-A follow-up may be warranted even in asymptomatic individuals.
