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Case Reports
. 2021 Jan 6;14(1):e237868.
doi: 10.1136/bcr-2020-237868.

Resolution of bilateral foveal cysts in dome-shaped macula after treatment with topical dorzolamide

Tejaswini Vukkadala  1 , Ranjitha Gowdar Kuberappa  1 , Shorya Vardhan Azad  1 , Vinod Kumar  2
Affiliations
Case Reports

Resolution of bilateral foveal cysts in dome-shaped macula after treatment with topical dorzolamide

Tejaswini Vukkadala et al. BMJ Case Rep. .

Abstract

Dome-shaped macula (DSM) is characterised by a convex anterior bulging of the macular area. It can further get complicated by accumulation of subretinal fluid (SRF). Foveal cysts that are bilateral, in a setting of DSM, are an entity not yet reported. Management options for DSM with SRF showed variable success. Topical carbonic anhydrase inhibitors (CAIs) have been successful in treating certain macular pathologies. The authors report a rare case of bilateral intraretinal foveal cyst in a myopic child with DSM with favourable response to topical dorzolamide. Topical CAIs may be considered a safe and effective option in such cases.

Keywords: eye; macula; retina.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Fundus photograph OD (A) showing yellowish foveal spot and dull foveal reflex. Optical coherence tomography OD (B) horizontal scan and (C) vertical scan showing dome-shaped macula with a foveal cyst with subtle alterations in ellipsoid layer and external limiting membrane. Arrows denote the direction of OCT scan. OD, right eye.
Figure 2
Figure 2
Fundus photograph OS (A) showing yellowish foveal spot and dull foveal reflex. Optical coherence tomography OS (B) horizontal scan and (C) vertical scan showing dome-shaped macula with a foveal cyst with subtle alterations in ellipsoid layer and external limiting membrane. Arrows denote the direction of OCT scan. OS, left eye.
Figure 3
Figure 3
Follow-up horizontal (A, C) and vertical (B, D) optical coherence tomography of right eye (A, B) and left eye (C, D) showing resolution of the foveal cyst. Arrows denot the direction of OCT scan.
See this image and copyright information in PMC

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