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

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.

Dome-shaped macula with extremely extensive macular edema

“…Vukkadala and coworkers presented a rare case of pediatric patient with bilateral foveal cysts, so far unprecedented in the course of DSM, who positively respond to topical drozlamid. This suggest a possible therapeutic option which should also be considered [17].…”

Short-pulse laser plus subthreshold diffuse laser for serous retinal detachment in dome-shaped macula

“…Serous retinal detachment (SRD) might be a possible complication of DSM, causing further deterioration of visual acuity [ 2 ]. Miscellaneous treatment options for SRD secondary to DSM [e.g., dorzolamide [ 3 ], spironolactone [ 4 ], eplerenone [ 5 ], micropulse laser [ 6 ], photodynamic therapy (PDT) [ 7 ], and intravitreal anti-VEGF [ 8 ]] have shown promise; however, inconstant results have been reported [ 9 ]. Thus, the aim of the present study was to describe the results obtained with combined sublethal laser techniques, namely, Pascal ® short-pulse (SP) laser plus EpM subthreshold diffuse laser (SDL), to treat SRD in DSM.…”