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Dome-shaped macula in eyes with myopic posterior staphyloma.
Am J Ophthalmol 2008; 145(5):909-14AJ

Abstract

PURPOSE

To describe an unusual feature in myopic eyes responsible for visual loss, which we call a dome-shaped macula.

DESIGN

Retrospective, observational case series.

METHODS

After observing isolated cases of dome-shaped macula, we analyzed optical coherence tomography (OCT) scans of 140 highly myopic eyes present in our OCT database to find similar cases. Fifteen eyes of 10 patients had a dome-shaped macula. These patients all had undergone fluorescein angiography (FA), indocyanine green angiography (ICGA), and B-scan ultrasonography examinations.

RESULTS

The mean refractive error of the affected eyes was -8.25 diopters (D; range, -2 to -15 D). Median visual acuity was 20/50. Recent visual impairment was noted in 11 of the 15 eyes studied, and metamorphopsia was noted in eight eyes. Four eyes were asymptomatic. FA showed atrophic changes in the macular retinal pigment epithelium (RPE) in all eyes, combined with focal points of leakage in seven of the 15 eyes. The dome-shaped appearance of the macula was visible on both B-scan ultrasonography and OCT: a characteristic bulge of the macular retina, RPE, and choroid within the concavity of the moderate posterior staphyloma was present in all eyes. In 10 eyes, OCT also showed a shallow foveal detachment at the top of the dome-shaped macula.

CONCLUSIONS

A dome-shaped macula within a myopic staphyloma is an unreported type of myopic posterior staphyloma. The dome-shaped macula often is associated with RPE atrophic changes and foveal retinal detachment, which may explain the visual impairment in these eyes.

Authors+Show Affiliations

Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, Service d'Ophtalmologie, Université Paris 7, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18342827

Citation

Gaucher, David, et al. "Dome-shaped Macula in Eyes With Myopic Posterior Staphyloma." American Journal of Ophthalmology, vol. 145, no. 5, 2008, pp. 909-14.
Gaucher D, Erginay A, Lecleire-Collet A, et al. Dome-shaped macula in eyes with myopic posterior staphyloma. Am J Ophthalmol. 2008;145(5):909-14.
Gaucher, D., Erginay, A., Lecleire-Collet, A., Haouchine, B., Puech, M., Cohen, S. Y., ... Gaudric, A. (2008). Dome-shaped macula in eyes with myopic posterior staphyloma. American Journal of Ophthalmology, 145(5), pp. 909-14. doi:10.1016/j.ajo.2008.01.012.
Gaucher D, et al. Dome-shaped Macula in Eyes With Myopic Posterior Staphyloma. Am J Ophthalmol. 2008;145(5):909-14. PubMed PMID: 18342827.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dome-shaped macula in eyes with myopic posterior staphyloma. AU - Gaucher,David, AU - Erginay,Ali, AU - Lecleire-Collet,Amelie, AU - Haouchine,Belkacem, AU - Puech,Michel, AU - Cohen,Salomon-Yves, AU - Massin,Pascale, AU - Gaudric,Alain, Y1 - 2008/03/14/ PY - 2007/07/31/received PY - 2008/01/03/revised PY - 2008/01/05/accepted PY - 2008/3/18/pubmed PY - 2008/5/21/medline PY - 2008/3/18/entrez SP - 909 EP - 14 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 145 IS - 5 N2 - PURPOSE: To describe an unusual feature in myopic eyes responsible for visual loss, which we call a dome-shaped macula. DESIGN: Retrospective, observational case series. METHODS: After observing isolated cases of dome-shaped macula, we analyzed optical coherence tomography (OCT) scans of 140 highly myopic eyes present in our OCT database to find similar cases. Fifteen eyes of 10 patients had a dome-shaped macula. These patients all had undergone fluorescein angiography (FA), indocyanine green angiography (ICGA), and B-scan ultrasonography examinations. RESULTS: The mean refractive error of the affected eyes was -8.25 diopters (D; range, -2 to -15 D). Median visual acuity was 20/50. Recent visual impairment was noted in 11 of the 15 eyes studied, and metamorphopsia was noted in eight eyes. Four eyes were asymptomatic. FA showed atrophic changes in the macular retinal pigment epithelium (RPE) in all eyes, combined with focal points of leakage in seven of the 15 eyes. The dome-shaped appearance of the macula was visible on both B-scan ultrasonography and OCT: a characteristic bulge of the macular retina, RPE, and choroid within the concavity of the moderate posterior staphyloma was present in all eyes. In 10 eyes, OCT also showed a shallow foveal detachment at the top of the dome-shaped macula. CONCLUSIONS: A dome-shaped macula within a myopic staphyloma is an unreported type of myopic posterior staphyloma. The dome-shaped macula often is associated with RPE atrophic changes and foveal retinal detachment, which may explain the visual impairment in these eyes. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/18342827/Dome_shaped_macula_in_eyes_with_myopic_posterior_staphyloma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(08)00042-1 DB - PRIME DP - Unbound Medicine ER -