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Case Reports
. 2011 Jan;2(1):111-5.
doi: 10.1159/000326918. Epub 2011 Mar 16.

Serous macular detachment associated with dome-shaped macula and tilted disc

Diamar Pardo-López  1 , Roberto Gallego-Pinazo, Carlos Mateo, Stephanie Rohrweck, Ana M Suelves, Rosa Dolz-Marco, José Luis Mullor, Manuel Díaz-Llopis
Affiliations
Case Reports

Serous macular detachment associated with dome-shaped macula and tilted disc

Diamar Pardo-López et al. Case Rep Ophthalmol. 2011 Jan.

Abstract

Introduction: An entirely new type of staphyloma has been recently described as dome-shaped macula (DSM). It is characterized by an abnormal convex macular contour within the concavity of a posterior staphyloma. We found DSM associated with serous macular detachment (SMD) and tilted disc in two consecutive cases.

Case reports: Case 1: A 37-year-old female presented to our department because of sudden onset blurred vision in her right eye (OD). The best-corrected visual acuity (BCVA) was 0.5 in both eyes. Funduscopy evidenced bilateral tilted disc associated with posterior staphyloma. Optical coherence tomography (OCT) demonstrated a DSM with SMD in her OD. After 15 months of follow-up, BCVA of her OD remained stable with chronic SMD. Case 2: A 32-year-old female presented to our department because of blurred vision in her OD. The BCVA was 0.4 in the OD and 1.0 in the left eye (OS). Bilateral tilted disc and posterior staphyloma were evidenced in the funduscopy. OCT demonstrated a bilateral DSM with SMD in her OD. After 45 months of follow-up, two further episodes of transient SMD were observed in her OD and seven in her OS. The final BCVA was 0.63 in the OD and 0.8 in the OS.

Discussion: SMD associated with tilted disc constitutes a potential cause of subretinal fluid accumulation in myopic patients. OCT is essential for the detection of both SMD and DSM.

Keywords: Dome-shaped macula; Posterior staphyloma; Serous macular detachment; Tilted disc.

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Figures

Fig. 1
Fig. 1
a–d Color retinography of both eyes in which posterior staphyloma and tilted disc are evident. b–e Fluorescein angiography showing retinal epithelial disturbance within the inferior and temporal macular area of the right eye; the left eye shows no abnormality. c Optical coherence tomography evidences dome-shaped macula and serous macular detachment in the right eye. f Optical coherence tomography evidences the presence of dome-shaped macula without subretinal fluid in the left eye.
Fig. 2
Fig. 2
a–d Color retinography of both eyes in which posterior staphyloma and tilted disc are evident. b–e Fluorescein angiography showing juxtafoveal retinal pigment epithelial disturbance in the right eye, and extrafoveal retinal pigment epithelial disturbance in the left eye. c Optical coherence tomography evidences dome-shaped macula and serous macular detachment in the right eye. f Optical coherence tomography evidences the presence of dome-shaped macula without subretinal fluid in the left eye.
See this image and copyright information in PMC

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