title: Hyperpigmented Torpedo Maculopathy with Pseudo-Lacuna: A 5-Year Follow-Up.
abstract: OBJECTIVE
  The aim of the study was to describe a case of globally hyperpigmented torpedo maculopathy that also contained a novel central lesion resembling a 'pseudo-lacuna'. We compare the morphology of the lesion after 5 years of follow-up.
  
  
  METHODS
  An asymptomatic 10-year-old Caucasian male was referred by his optometrist after having found a hyperpigmented lesion on routine dilated examination in 2010. Color fundus photography OS from October 2015 showed a 1.74 × 0.67 mm hyperpigmented oval-shaped lesion temporal to the macula. Since June 2010, the hyperpigmented torpedo lesion appeared to have assumed a more ovoid shape and increased in size in the vertical axis. Centrally, there was a small pearlescent-colored pseudo-lacuna lesion that seemed to also have significantly increased in size since June 2010. Enhanced depth imaging optical coherence tomography of this pseudo-lacuna showed retinal pigment epithelium clumping and migration. Fundus autofluorescence revealed reduced autofluorescence of the torpedo lesion and marked hyperautofluorescence of the pseudo-lacuna. Fluorescein angiography shows no neovascular disease or leakage.
  
  
  CONCLUSIONS
  Torpedo maculopathy has been described previously as a hypopigmented, nonprogressive lesion of unknown etiology. The findings of global hyperpigmentation, pseudo-lacuna formation, and morphologic changes over time in this lesion challenge these classically held descriptions, and necessitate long-term follow-up with multimodal imaging.
authors.affiliation: University of Central Florida College of Medicine, Orlando, Fla., USA.
authors.forename: Austin
authors.initials: A
authors.lastname: Rohl
authors.affiliation: University of Central Florida College of Medicine, Orlando, Fla., USA; Central Florida Retina, Orlando, Fla., USA.
authors.forename: Sushma
authors.initials: S
authors.lastname: Vance
keywords: Fundus autofluorescence; Optical coherence tomography; Paramacular coloboma; Retinal pigment epithelium; Torpedo maculopathy