Comparison of long-term clinical evolution in highly myopic eyes with vertical oval-shaped dome with or without untreated serous retinal detachment

García-Ben, A.; García‐Basterra, Ignacio; González-Gómez, A.; Baquero-Aranda, Isabel; Morillo-Sánchez, María José; Soler-García, A; García-Campos, J.M.

doi:10.1136/bjophthalmol-2018-311895

Cited by 10 publications

(5 citation statements)

References 25 publications

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“…219 Most studies of SRF associated with dome-shaped macula have shown a poorer visual acuity at baseline or during the follow-up 219,226 but in one study, a similar prognosis has been reported between eyes with and without SRF after a 2-year follow-up. 227 Other reported complications include pigment epithelial detachment at the dome apex, 228 polypoidal choroidal vasculopathy, 229 and MNV that is more easily detected on OCTA. 228,230 A similar response of MNV to ranibizumab has been reported between eyes with and without dome-shaped macula in a comparative series 231 and in the RADIANCE trial.…”

Section: Dome-shaped Maculamentioning

confidence: 99%

IMI Pathologic Myopia

Ohno‐Matsui

Yamashiro

et al. 2021

Invest. Ophthalmol. Vis. Sci.

212

159

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Pathologic myopia is a major cause of visual impairment worldwide. Pathologic myopia is distinctly different from high myopia. High myopia is a high degree of myopic refractive error, whereas pathologic myopia is defined by a presence of typical complications in the fundus (posterior staphyloma or myopic maculopathy equal to or more serious than diffuse choroidal atrophy). Pathologic myopia often occurs in eyes with high myopia, however its complications especially posterior staphyloma can also occur in eyes without high myopia. Owing to a recent advance in ocular imaging, an objective and accurate diagnosis of pathologic myopia has become possible. Especially, optical coherence tomography has revealed novel lesions like dome-shaped macula and myopic traction maculopathy. Wide-field optical coherence tomography has succeeded in visualizing the entire extent of large staphylomas. The effectiveness of new therapies for complications have been shown, such as anti-VEGF therapies for myopic macular neovascularization and vitreoretinal surgery for myopic traction maculopathy. Myopia, especially childhood myopia, has been increasing rapidly in the world. In parallel with an increase in myopia, the prevalence of high myopia has also been increasing. However, it remains unclear whether or not pathologic myopia will increase in parallel with an increase of myopia itself. In addition, it has remained unclear whether genes responsible for pathologic myopia are the same as those for myopia in general, or whether pathologic myopia is genetically different from other myopia.

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Section: Dome-shaped Maculamentioning

confidence: 99%

IMI Pathologic Myopia

Ohno‐Matsui

Yamashiro

et al. 2021

Invest. Ophthalmol. Vis. Sci.

212

159

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“…Recently, some retrospective studies found that DSM is a condition that seems to remain stable over time even when is associated to chronic SRD [11] [12] in contrast to previous reports [13].…”

Section: Introductionmentioning

confidence: 84%

“…Its prevalence ranges from 28.5% to 66.6%. However, the presence of subretinal fluid (SRF) was not associated with vision loss in comparison to patients without SRD [11] [12].…”

Section: Discussionmentioning

confidence: 99%

Dome-Shaped Macula and Foveal Neurosensory Retinal Detachment—A Case Series

Mitzy¹,

Jesica²,

Maximiliano³

2019

OJOph

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Objective: To report a case series of dome-shaped macula (DSM) and serous retinal detachment (SRD). Methods: A retrospective and observational case series study was performed at two centers of ophthalmology in Rosario-Argentina from January 2016 to December 2017. Eight eyes of 5 patients diagnosed with dome-shaped macula with subfoveal hyporeflective zone seen in optical coherence tomography (OCT) were included. Best-corrected visual acuity (BCVA), OCT, fluorescein angiography (FA), differential diagnoses, clinical course and different treatments were reviewed. Results: Baseline visual acuity ranged from 20/25 to 20/200. OCT revealed that the retinal choroidal macular complex had a convex shape and exhibited foveal neurosensory retinal detachment in all cases. FA showed mild diffuse hyperfluorescence due to changes in the retinal pigment epithelium (RPE). No sign of leakage was observed. Different treatments were used, including intravitreal antiangiogenic drugs, oral spironolactone, melatonin and observation. Follow-up time was between 6 and 18 months. BCVA and OCT findings remained unchanged after different options of treatment. Conclusions: DSM is an unusual entity, which can be confused with other maculopathies that cause neurosensory retinal detachment and do not respond to different types of treatment. Hence, in our opinion, observation is a reasonable approach for this disorder.

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“…Our cohort of patients was also unique in that five patients were identified at an age-range <20 years. The majority of previously reported cases in the literature are of patients more than 20 years of age [ 1 , 2 , 5 – 7 , 9 , 11 – 13 , 17 ], so this sub-group are very young to have been diagnosed with DSM. The youngest of our patients was 7 years of age at presentation, the youngest reported age, to our knowledge, of a patient with DSM in the literature.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal follow-up of dome-shaped macula

Burke

Shen

et al. 2020

Eye

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Background/objectives To determine if the presence of sub-retinal fluid (SRF) was associated with reduced vision in dome-shaped macula (DSM), and to assess its effect and response to treatment during follow-up. Methods Patients were identified retrospectively. Baseline and follow-up data were recorded. The diagnosis of DSM, and presence or absence of SRF and intra-retinal fluid (IRF) was confirmed using Spectral Domain-Optical Coherence Tomography (SD-OCT). Decisions to treat oedema were based on clinician preference. Results 193 eyes of 106 patients (71 female) were confirmed to have DSM. Overall mean duration of follow-up for this cohort was 3.5 years. Mean BRVA for all eyes at baseline was 0.38 (range: −0.20 to ‘light perception’). A significant difference was noted in mean baseline BRVA between those eyes with SRF compared with those without SRF at baseline (0.48 vs. 0.31, p < 0.001). Intra-retinal fluid moderately correlated with poorer baseline BRVA ( r = 0.31, p < 0.003). No significant change in BRVA was noted during follow-up. No significant effect of treatment on BRVA was observed. Conclusions The presence of SRF at baseline was associated with poorer vision. Vision appears to remain stable irrespective of the presence or absence of SRF at baseline. The treatments administered in this cohort did not affect final vision or SRF.

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Comparison of long-term clinical evolution in highly myopic eyes with vertical oval-shaped dome with or without untreated serous retinal detachment

Abstract: Serous retinal detachment is a complication associated with vertical oval-shaped domes that seems to remain stable in terms of visual function over time without treatment.

Cited by 10 publications

References 25 publications

IMI Pathologic Myopia

IMI Pathologic Myopia

Dome-Shaped Macula and Foveal Neurosensory Retinal Detachment—A Case Series

Longitudinal follow-up of dome-shaped macula

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