Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Jan 1;18(1):11-14.
doi: 10.1097/ICB.0000000000001308.

RIDGE-SHAPED PERIPAPILLA

Taku Wakabayashi  1 , Yoshihiro Yonekawa  1 , Kyoko Ohno-Matsui  2 , Salomon Y Cohen  3 , Christina Rowland  1 , Jose S Pulido  1
Affiliations
Case Reports

RIDGE-SHAPED PERIPAPILLA

Taku Wakabayashi et al. Retin Cases Brief Rep. .

Abstract

Purpose: To report a case of peripapillary subretinal fluid associated with a ridge-shaped morphology surrounding the optic disk, which we termed ridge-shaped peripapilla.

Methods: Case report.

Results: A 6-year-old girl with mild-to-moderate myopia was referred for an abnormal fundus appearance of the left eye. Fundus examination of the left eye showed a vertical whitish elevation just temporal to the disk with pigment clumping. Spectral domain optical coherence tomography of the left eye showed an elevation of the fundus at the temporal edge of the disk with thinning of the choroid overlying the thickened scleral protrusion and a serous subretinal fluid. Fluorescein angiography of the left eye showed a hyperfluorescent area without leakage at the temporal edge of the disk, indicative of retinal pigment epithelium atrophy. There was no sign of choroidal neovascularization. Based on the fluorescein angiography and optical coherence tomography findings, the protrusion of the sclera seemed to result in overlying choroidal thinning with choroidal blood flow disturbances, and consequent retinal pigment epithelium atrophy, leading to the subretinal fluid.

Conclusion: This case highlights an unusual presentation of ridge-shaped peripapilla, characterized by inward convexity of the peripapillary area with a ridge-shaped morphology and localized thickening of the peripapillary sclera, in eyes with myopia.

PubMed Disclaimer

References

    1. Gaucher D, Erginay A, Lecleire-Collet A, et al. Dome shaped macula in eyes with myopic posterior staphyloma. Am J Ophthalmol 2008;145:909–914.
    1. Caillaux V, Gaucher D, Gualino V, et al. Morphologic characterization of dome-shaped macula in myopic eyes with serous macular detachment. Am J Ophthalmol 2013;156:958–967.
    1. Liang IC, Shimada N, Tanaka Y, et al. Comparison of clinical features in highly myopic eyes with and without a dome-shaped macula. Ophthalmology 2015;122:1591–1600.
    1. Xu X, Fang Y, Jonas JB, et al. Ridge-shaped macula in young myopic patients and its differentiation from typical dome-shaped macula in elderly myopic patients. Retina 2020;40:225–232.
    1. Giocanti-Auregan A, Lavia C, Gaudric A, et al. Staphyloma-related chorioretinal folds. Am J Ophthalmol Case Rep 2020;19:100747.

Publication types

LinkOut - more resources