Dome-shaped Macula in Eyes With Myopic Posterior Staphyloma

Mehdizadeh, Mehrzad; Nowroozzadeh, Mohammad Hossein

doi:10.1016/j.ajo.2008.05.045

Cited by 50 publications

(30 citation statements)

References 4 publications

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“…Several hypotheses have been advanced to explain the development of DSM, such as a resistance to deformation of scleral staphyloma,1 localized choroidal thickening in the macular area,1 ocular hypotony,7 scleral infolding through collapse of the posterior portion of the eye wall,7 and tangential vitreoretinal traction 7. More recently, Imamura et al demonstrated that DSM may be the result of a localized relative thickness variation of the sclera under the macula in highly myopic patients 3…”

Section: Discussionmentioning

confidence: 99%

Resolution of foveal detachment in dome-shaped macula after treatment by spironolactone: report of two cases and mini-review of the literature

Dirani¹,

Matet²,

Beydoun³

et al. 2014

OPTH

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Dome-shaped macula (DSM) was recently described in myopic patients as a convex protrusion of the macula within a posterior pole staphyloma. The pathogenesis of DSM and the development of associated serous foveal detachment (SFD) remain unclear. The obstruction of choroidal outflow and compressive changes of choroidal capillaries have been proposed as causative factors. In this paper, we report two cases of patients with chronic SFD associated with DSM treated with oral spironolactone. After treatment, there was a complete resolution of SFD in both patients. To the best of our knowledge, this is the first report of successful treatment of SFD in DSM by a mineralocorticoid receptor antagonist.

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Section: Discussionmentioning

confidence: 99%

Resolution of foveal detachment in dome-shaped macula after treatment by spironolactone: report of two cases and mini-review of the literature

Dirani¹,

Matet²,

Beydoun³

et al. 2014

OPTH

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“…Various theories proposed for DSM are sublesional scleral thickening,1 inward convex contour of the choroid and sclera1 2 and localised choroidal thickening 3. Inward convex contour of the sclera and choroid along with sublesional scleral thickening was present in our case at the site of DSM and EDSE, and thus it appears to contribute towards the formation of both DSM and EDSE, suggesting that they originate from a similar but unknown pathophysiology.…”

Section: Descriptionmentioning

confidence: 48%

“…Dome-shaped macula (DSM) is an elevation at the macula seen in about 5%–10% cases of high myopia, usually within a posterior staphyloma, caused by localised inward scleral and choroidal convexity 1. It may lead to visual deterioration when associated with serous foveal detachment (44% cases) 2 3.…”

Section: Descriptionmentioning

confidence: 99%

Extramacular dome-shaped elevation: a novel finding in a case of high myopia

et al. 2017

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“…Среди возможных гипотез рассма-тривались такие, как витреомакулярная трак-ция [23], гипотония [23], возможная защитная реакция организма при миопии высокой сте-пени для избегания анизометропии (утолще-ние склеры и формирование купола смещает фокус изображения на сетчатке кпереди и тем самым уменьшает степень миопии) [20]. Выска-зана также гипотеза, что, возможно, во время чтения изображение в центре макулы сохраня-ется в относительно постоянной степени рез-кости, а в остальных участках сетчатки бывает расфокусированным.…”

Section: предполагаемые этиологические факторыunclassified

Dome-shaped macula phenomenon

Melikhova¹,

Gatsu²

2018

Ophthalmology Reports

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This article provides a review of the literature of domestic and foreign studies on the newly described, insufficiently explored and poorly diagnosed pathology of the organ of vision - the dome-shaped macula (DSM). This pathology is an anatomical feature of the structure of the eye and is formed in most cases at medium and high myopia. For the first time, this condition was revealed in 2008 with the help of high resolution optical coherence tomography, and is characterized by local thickening of the sclera in the macular area with dome formation. Currently the final reason for DSM formation is not yet found. Studies are conducted to identify the mechanisms for the formation of this feature and to predict the variants of its course. Particular attention in the article is paid to the review of various changes in the retina and pigment epithelium in patients with dome-shaped macula. Methods and features of diagnosis of this condition, as well as differential diagnosis with choroidal hemangioma, which is very difficult, are also considered. The article presents an overview of current methods of treating this condition. Failures, as well as effective and promising methods of treating the neurosensory retinal detachment, occurring on the background of the dome-shaped macula, are described. Timely and correct diagnosis on the basis of characteristic clinical picture allows to avoid ineffective treatment, as well as to select the necessary set of diagnostic procedures for dynamic observation and identification of features of the disease. (For citation: Melikhova MV, Gatsu MV. Dome-shaped macula phenomenon. Ophthalmology Journal. 2018;11(1):71-77. doi: 10.17816/OV11171-77).

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Dome-shaped Macula in Eyes With Myopic Posterior Staphyloma

Cited by 50 publications

References 4 publications

Resolution of foveal detachment in dome-shaped macula after treatment by spironolactone: report of two cases and mini-review of the literature

Resolution of foveal detachment in dome-shaped macula after treatment by spironolactone: report of two cases and mini-review of the literature

Extramacular dome-shaped elevation: a novel finding in a case of high myopia

Dome-shaped macula phenomenon

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