Skip to main content
Journal of Ophthalmic & Vision Research logoLink to Journal of Ophthalmic & Vision Research
letter
. 2022 Nov 29;17(4):607. doi: 10.18502/jovr.v17i4.12346

Authors' Reply

Ramesh Venkatesh 1,3, Kushagra Jain 1,3, Arpitha Pereira 1,3, MB Thirumalesh 1,3, Naresh Kumar Yadav 1,3
PMCID: PMC9806313  PMID: 36620719

Dear Editor,

We thank the author for showing interest in our article titled “Torpedo Retinopathy” and for providing important comments on it.[1] Classically, torpedo maculopathy is considered as a retinal pigment epithelium (RPE) defect, typically in the temporal macula with a characteristic pointed, "torpedo" shape, with one tip pointing toward the macula. Several theories have been floating as to the etiology, including an hypopigmented RPE nevus, a developmental defect in the "fetal temporal bulge", or failure of the RPE to close overlying the region near the emissary canal of the long posterior ciliary artery and nerve.[2,3,4] Our paper describes cases of torpedo lesions located at sites other than the macula in the fundus.[1] Hence, we titled the paper as “Torpedo Retinopathy” and suggested a change in the routinely used nomenclature of “Torpedo Maculopathy”. With the use of advanced retinal imaging techniques such as optical coherence tomography (OCT), OCT-angiography, multicolor imaging, and adaptive optics imaging, it is increasingly becoming clear that the inner choroid, mainly the choriocapillaris layer gets affected in the torpedo lesions.[5,6,7] Hence, we do back the suggestion by the author that the revised nomenclature for the torpedo lesions in the fundus be termed as “Torpedo Chorioretinopathy” as it addresses the issues both related to its location and its involvement of the retina and choroid.

References

  1. Venkatesh R, Jain K, Pereira A, Thirumalesh MB, Yadav NK. Torpedo retinopathy. J Ophthalmic Vis Res. 2020;15:187–194. doi: 10.18502/jovr.v15i2.6736. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Golchet PR, Jampol LM, Mathura JR Jr, Daily MJ. Torpedo maculopathy. Br J Ophthalmol. 2010;94:302–306. doi: 10.1136/bjo.2009.162669. [DOI] [PubMed] [Google Scholar]
  3. Shields CL, Guzman JM, Shapiro MJ, Fogel LE, Shields JA. Torpedo maculopathy at the site of the fetal “bulge”. Arch Ophthalmol. 2010;128:499–501. doi: 10.1001/archophthalmol.2010.29. [DOI] [PubMed] [Google Scholar]
  4. Roseman RL, Gass JD. Solitary hypopigmented nevus of the retinal pigment epithelium in the macula. Arch Ophthalmol. 1992;110:1358–1359. doi: 10.1001/archopht.1992.01080220020005. [DOI] [PubMed] [Google Scholar]
  5. Raval V, Rao S, Sudana P, Das T. Torpedo maculopathy. J Ophthalmic Vis Res. 2020;15:113–115. doi: 10.18502/jovr.v15i1.5960. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Venkatesh R, Bavaharan B, Yadav NK. Multicolor imaging findings in torpedo maculopathy. Indian J Ophthalmol. 2019;67:295–297. doi: 10.4103/ijo.IJO_1317_18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Venkatesh R, Yadav NK, Sinha S, Mehta R, Akkali MC. Structural-functional correlation using adaptive optics, visual fields, optical coherence tomography and multifocal electroretinogram in a case of torpedo maculopathy. Indian J Ophthalmol. 2019;67:1502–1505. doi: 10.4103/ijo.IJO_2044_18. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Ophthalmic & Vision Research are provided here courtesy of Ophthalmic Research Center

RESOURCES