Open AccessDome shaped macula with serous macular detachment in an elderly myopic woman: Case report and review of literature
Author(s) -
Devdatta Deshmukh,
Rashid Al Saidi,
Roshini Issac,
Santosh Philip
Publication year - 2021
Publication title -
oman journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 16
eISSN - 0974-7842
pISSN - 0974-620X
DOI - 10.4103/ojo.ojo_181_2020
Subject(s) - medicine , serous fluid , asymptomatic , optical coherence tomography , dome (geology) , ophthalmology , visual acuity , macula lutea , retinal detachment , posterior pole , surgery , pathology , retinal , paleontology , biology
Dome-shaped macula (DSM) is a recently described entity characterized by convex protrusion of the macula within a posterior staphyloma. Serous macular detachment is the most common complication, but the condition often remains stable despite lack of intervention. Spontaneous resolution of the condition has also been reported in many cases. The condition may be observed with periodic review with optical coherence tomography (OCT). We report a 56-year-old Omani woman, a high myope without significant ocular complaints who was incidentally detected to have bilateral DSM with serous macular detachment and review the literature regarding its diagnosis, pathogenesis, and treatment options. As the patient was asymptomatic, she was followed with serial OCTs for 6 months and is stable in terms of visual acuity and subretinal fluid.