Dome-shaped macula—Review of literature

Kumar, Vinod; Verma, Saurabh; Azad, Shorya Vardhan; Chawla, Rohan; Bhayana, Amber Amar; Surve, Abhidnya; Vohra, Rajpal; Venkatesh, Pradeep

doi:10.1016/j.survophthal.2020.11.002

Cited by 10 publications

(13 citation statements)

References 62 publications

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“…In our study, 2 eyes with DSM were observed in the HM group, while no DSM was noticed in other groups. DSM is reported to be correlated with HM with posterior staphyloma in some studies, but its pathogenesis remains controversial [32, 33]. However, quantitative OCTA studies on DSM were relatively lacking and the number of eyes with DSM in our study was small.…”

Section: Discussionmentioning

confidence: 76%

The Deep Vascular Plexus Density Is Closely Related to Myopic Severity

Yao

Xin

2022

Ophthalmic Res

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Objectives: To investigate the relationship between myopic severity and the retinal microvasculature based on quantitative variables using optical coherence tomography angiography (OCTA) and to identify OCTA indicators of microvascular network loss in myopia. Methods: This cross-sectional study included 123 eyes of 123 myopic subjects. The included eyes were divided into three groups according to the spherical equivalent (SE) and axial length (AL): low myopia (LM) (−3.00 D ≤ SE ≤ −0.50 D), moderate myopia (MM) (−6.00 D ≤ SE <−3.00 D) and high myopia (HM) (−9.00 D ≤ SE < −6.00 D or AL > 26 mm). All the eyes underwent OCTA scans. The densities and thicknesses of the macular and peripapillary zones, including the foveal avascular zone (FAZ) area, superficial vascular plexus (SVP) density, deep vascular plexus (DVP) density, ganglion cell complex (GCC) thickness, full retinal thickness, radial peripapillary capillary plexus (RPCP) density and retinal nerve fibre layer (RNFL) thickness, were automatically exported. Results: Compared to the LM or MM group, the HM group had a significantly reduced FAZ area (p < 0.05). In most sectors of the parafoveal and perifoveal areas, the HM group had significantly lower DVP density and higher retinal thickness than the LM and MM groups (all p < 0.05). However, significant differences among the three groups in only one or several sectors were observed with regard to SVP density, GCC thickness and RNFL thickness, and no significant differences among the three groups in any sector were noticed in RPCP density. Perifoveal DVP density and perifoveal full retinal thickness were positively associated with SE and negatively associated with AL in stepwise multiple linear regression analyses adjusted for sex and age. Conclusion: DVP density was closely related to myopic severity. Reduced perifoveal DVP density may serve as an indicator of microvascular network loss in myopia. OCTA may provide useful and crucial information for monitoring the progression of myopia.

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Section: Discussionmentioning

confidence: 76%

The Deep Vascular Plexus Density Is Closely Related to Myopic Severity

Yao

Xin

2022

Ophthalmic Res

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“…The staphyloma in oval-shaped domes, referred also as ridge-shaped macula (RSM), is divided into two parts: superior and inferior in horizontally oriented and nasal and temporal in vertically oriented [10]. The RSM is also considered as an early variant of DSM seen in young myopic patients with progressive increase in height of macular bulge [5].…”

Section: Discussionmentioning

confidence: 99%

“…In imaging examinations, dome-shaped maculopathy may simulate an intraoc-ular tumor, including melanoma, hemangioma and choroidal metastases [4]. In differential diagnosis central serous chorioretinopathy (CSCR) and choroidal neovascular membrane (CNVM) should also be considered [5]. The article presents a case of a DSM with extremely extensive macular edema.…”

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confidence: 99%

Dome-shaped macula with extremely extensive macular edema

Nowak¹,

Sedlak²,

Swierczynska³

et al. 2023

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Section: Oct and Octa For The Assessment Of Pathology In High Myopesmentioning

confidence: 99%

“…DSM has been better depicted and visualized with the advancement of OCT technology that has allowed acquisition of high-resolution images of the macula area [ 103 ]. According to the primary orientation of the macula based on OCT images, three different types of DSM have been recorded: round dome (20%), vertical oval-shaped dome (18%), and horizontal oval-shaped dome (62%) [ 103 , 104 ]. Studies using 3D OCT macular reconstruction and 3D MRI have confirmed these findings since the conventional OCT equipment has a restricted scan length and may not achieve comprehensive evaluation [ 105 , 106 ].…”

Section: Oct and Octa For The Assessment Of Pathology In High Myopesmentioning

confidence: 99%

Advances in OCT Imaging in Myopia and Pathologic Myopia

Zheng

Foo

et al. 2022

Diagnostics

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Advances in imaging with optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) technology, including the development of swept source OCT/OCTA, widefield or ultra-widefield systems, have greatly improved the understanding, diagnosis, and treatment of myopia and myopia-related complications. Anterior segment OCT is useful for imaging the anterior segment of myopes, providing the basis for implantable collamer lens optimization, or detecting intraocular lens decentration in high myopic patients. OCT has enhanced imaging of vitreous properties, and measurement of choroidal thickness in myopic eyes. Widefield OCT systems have greatly improved the visualization of peripheral retinal lesions and have enabled the evaluation of wide staphyloma and ocular curvature. Based on OCT imaging, a new classification system and guidelines for the management of myopic traction maculopathy have been proposed; different dome-shaped macula morphologies have been described; and myopia-related abnormalities in the optic nerve and peripapillary region have been demonstrated. OCTA can quantitatively evaluate the retinal microvasculature and choriocapillaris, which is useful for the early detection of myopic choroidal neovascularization and the evaluation of anti-vascular endothelial growth factor therapy in these patients. In addition, the application of artificial intelligence in OCT/OCTA imaging in myopia has achieved promising results.

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Dome-shaped macula—Review of literature

Cited by 10 publications

References 62 publications

The Deep Vascular Plexus Density Is Closely Related to Myopic Severity

The Deep Vascular Plexus Density Is Closely Related to Myopic Severity

Dome-shaped macula with extremely extensive macular edema

Advances in OCT Imaging in Myopia and Pathologic Myopia

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