Authors’ Reply

Ramesh Venkatesh, MS; Kushagra Jain, MS; Arpitha Pereira, MRCSEd, DNB; MB Thirumalesh, MD; Naresh
Kumar Yadav, DO, FRCS

Department of Retina and Vitreous, Narayana Nethralaya, Bangalore, India

ORCID:
Ramesh Venkatesh: https://orcid.org/0000-0002-4479-9390

J Ophthalmic Vis Res 2022; 17 (4): 607–607

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.[2–4] 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,

Correspondence to:

Ramesh Venkatesh, MS. Department of Retina and
Vitreous, Narayana Nethralaya, #121/C, Chord Road, 1st
R block Rajaji Nagar, Bangalore 560010, India.
E-mail: vramesh80@yahoo.com
Received: 20-04-2022 Accepted: 09-05-2022

Access this article online

Website: https://knepublishing.com/index.php/JOVR

DOI: 10.18502/jovr.v17i4.12346

mainly the choriocapillaris layer gets affected
in the torpedo lesions.[5–7] 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.

2. Golchet PR, Jampol LM, Mathura JR Jr, Daily MJ. Torpedo
maculopathy. Br J Ophthalmol 2010;94:302–306.

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.

4. Roseman RL, Gass JD. Solitary hypopigmented nevus
of the retinal pigment epithelium in the macula. Arch
Ophthalmol 1992;110:1358–1359.

5. Raval V, Rao S, Sudana P, Das T. Torpedo maculopathy. J
Ophthalmic Vis Res 2020;15:113–115.

6. Venkatesh R, Bavaharan B, Yadav NK. Multicolor imaging
findings in torpedo maculopathy. Indian J Ophthalmol
2019;67:295–297.

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.

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How to cite this article: Venkatesh R, Jain K, Thirumalesh MB,
Yadav NK. Authors’ Reply. J Ophthalmic Vis Res 2022;17:607–607.

© 2022 Venkatesh et al. THIS IS AN OPEN ACCESS ARTICLE DISTRIBUTED UNDER THE CREATIVE COMMONS ATTRIBUTION LICENSE | PUBLISHED BY KNOWLEDGE E 607

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