Dome-shaped macula is a pathology of the posterior pole of the eye, characterized by a convex anterior protrusion of the macula. It is most commonly associated with high myopia, but can also occur in non-myopic patients. Patients may report decreased visual acuity but may also be asymptomatic. Due to the lack of specific features in the ophthalmoscopic examination, swept source optical coherence tomography (SS OCT) is the most important diagnostic tool, in which both vertical and horizontal scans should be performed. Despite the lack of effective treatment, patients should be systematically followed up. In some cases, treatment methods such as intravitreal injections of aflibercept, vitrectomy, focal laser photocoagulation and photodynamic therapy are considered.
REFERENCES(18)
1.
Eunhae S, Kyung-Ah P, Sei Yeul O. Dome-shaped macula in children and adolescents. PLoS One 2020; 15: e0227292.
Gaucher D, Lecleire-Collet A, Haouchine B, Puech M, Cohen SY, Massin P, Gaudric A. Dome-shaped macula in eyes with myopic posterior staphyloma. Am J Ophthalmol 2008; 145: 909-914.
Errera MH, Michaelides M, Keane PA, Restori M, Paques M, Moore AT, Yeoh J, Chan D, Egan CA, Patel PJ, Tufail A. The extended clinical phenotype of dome-shaped macula. Graefes Arch Clin Exp Ophthalmol 2014; 252: 499-508.
Fang Y, Jonas J B, Yokoi T, Cao K, Shinohara K, Ohno-Matsui K. Macular Bruch’s membrane defect and dome-shaped macula in high myopia. PLoS One 2017; 12: e0178998.
Gaucher D, Erginay A, Lecleire-Collet A, Haouchine B, Puech M, Cohen SY, Massin P, Gaudric A. Dome-shaped macula in eyes with myopic posterior staphyloma. Am J Ophthalmol 2008; 145: 909-914.
Imamura Y, Iida T, Maruko I, Zweifel SA, Spaide RF. Enhanced depth imaging optical coherence tomography of the sclera in dome-shaped macula. Am J Ophthalmol 2011; 151: 297-302.
Ellabban AA, Tsujikawa A, Matsumoto A, Yamashiro K, Oishi S, Ooto S, Nakata I, Akagi-Kurashige Y, Miyake M, Elnahas HS, Radwan TM, Zaky KA, Yoshimura N. Three-dimensional tomographic features of dome-shaped macula by swept-source optical coherence tomography. Am J Ophthalmol 2013; 155: 320-328.
Chang L, Pan CW, Ohno-Matsui K, Lin X, Cheung GCM, Gazzard G, Koh V, Hamzah H, Tai ES, Lim SC, Mitchell P, Young TL, Aung T, Wong TY, Saw SM. Myopia-related fundus changes in singapore adults with high myopia. Am J Ophthalmol 2013; 155: 991-999.
Zuber-Laskawiec K, Kubicka-Trzaska A, Karska-Basta I, Pociej-Marciak W, Romanowska-Dixon B. Non-responsiveness and tachyphylaxis to anti-vascular endothelial growth factor treatment in naive patients with exudative age-related macular degeneration. J Physiol Pharmacol 2019; 70. doi: 10.26402/jpp.2019.5.13.
Lorenzo D, Arias L, Choundhry N, Millan E, Flores I, Rubio MJ, Cobos E, García-Bru P, Filloy A, Caminal JM. Dome-shaped macula in myopic eyes: twelve-month follow-up. Retina Phila Pa 2017; 37: 680-686.
Dirani A, Matet A, Beydoun T, Mantel I, Behar-Cohen F. Resolution of foveal detachment in dome-shaped macula after treatment by spironolactone: report of two cases and mini-review of the literature. Clin Ophthalmol 2014; 8: 999-1002.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.