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Peripapillary hyper-reflective ovoid mass-like structure and dome-shaped maculopathy: A case report
Wei Zhang1,2, Da-Guang Bi1, Xiao-Yan Peng2
1Department of the Ophthalmology, Beijing Aier Intech Eye Hospital, Beijing, China.
Rationale:
Peripapillary hyperreflective ovoid mass-like structures (PHOMS) and dome-shaped macula (DSM) are 2 optical coherence tomography findings reported in 2018 and 2008, respectively. To date, there have been no ophthalmic case reports of concomitant PHOMS and DSM.
Patient Concerns:
A 19-year-old woman presented to our clinic with complaints of decreased vision in both eyes.
Diagnosis:
The patient was diagnosed with PHOMS and a dome-shaped macula complicated by subretinal fluid in both eyes.
Interventions:
A micropulse laser under the guidance of Indocyanine green angiography was applied to the hyperfluorescent areas and drugs to improve retinal microcirculation.
Outcomes:
No response to any intervention over the 41 months of follow-up, her visual acuity remained the same, and the subretinal fluid often recurred.
Lessons:
PHOMS and DSM are associated with myopia; myopia may be a mediator between PHOMS and DSM. Dome-like structural changes may occur in different parts of the retina (optic disc and macula), caused by asymmetric myopic posterior scleral growth.
