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Dome-shaped macula associated with Best vitelliform macular dystrophy
Maurizio Battaglia Parodi1, Ilaria Zucchiatti, Francesco Fasce
1Department of Ophthalmology, University Vita-Salute, San Raffaele Scientific Institute, Milan - Italy.
European Journal of Ophthalmology
|November 12, 2014
Summary
This study reports the first case of dome-shaped macula (DSM) associated with Best vitelliform macular dystrophy (VMD). DSM may represent a nonspecific scleral change seen in various retinal conditions.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Macular Disorders
Background:
- Dome-shaped macula (DSM) is an inward macular convexity detected via spectral-domain optical coherence tomography (SD-OCT), often associated with myopia.
- Best vitelliform macular dystrophy (VMD) is a genetic disorder affecting the macula.
Observation:
- A case report details a 60-year-old man with VMD in the vitelliruptive stage.
- SD-OCT revealed vitelliform material and a monolateral dome-shaped macula in the left eye.
- No changes were observed over a one-year follow-up period.
Findings:
- This is the first documented instance of a dome-shaped macula occurring alongside Best vitelliform macular dystrophy.
- The findings suggest DSM might be a nonspecific scleral alteration.
Implications:
- Increased scleral thickness is a potential cause for DSM, which may accompany diverse retinal pathologies.
- This association broadens the understanding of conditions presenting with DSM.
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