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Serous macular detachment associated with dome-shaped macula and tilted disc
Diamar Pardo-López1, Roberto Gallego-Pinazo, Carlos Mateo
1Department of Ophthalmology, University and Polytechnic Hospital La Fe, Barcelona, Spain.
Case Reports in Ophthalmology
|November 17, 2011
Summary
Dome-shaped macula (DSM) with serous macular detachment (SMD) and tilted disc can cause vision loss in myopic patients. Optical coherence tomography (OCT) is crucial for diagnosing these conditions.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Macular Disorders
Background:
- Dome-shaped macula (DSM) is a recently described staphyloma characterized by an abnormal convex macular contour within a posterior staphyloma.
- DSM has been observed in association with serous macular detachment (SMD) and tilted disc.
Observation:
- Two cases of myopic patients presenting with blurred vision were analyzed.
- Funduscopy revealed bilateral tilted discs and posterior staphylomas in both patients.
- Optical coherence tomography (OCT) confirmed the presence of DSM with SMD in the affected eyes.
Findings:
- Case 1: A 37-year-old female showed chronic SMD in the right eye over 15 months.
- Case 2: A 32-year-old female experienced multiple transient SMD episodes in both eyes over 45 months.
- Visual acuity remained relatively stable in both cases despite the presence of SMD and DSM.
Implications:
- SMD associated with tilted discs is a significant cause of subretinal fluid in myopic individuals.
- OCT imaging is essential for the accurate detection and diagnosis of both SMD and DSM.
- Understanding these associations aids in managing vision impairment in myopic patients.
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