Dome-shaped macula-Review of literature

Surv Ophthalmol. 2021 Jul-Aug;66(4):560-571. doi: 10.1016/j.survophthal.2020.11.002. Epub 2020 Nov 24.

Abstract

Dome-shaped macula is a convex retinochoroidal elevation within the region of a posterior staphyloma seen commonly in high myopia on optical coherence tomography. With growing awareness of the condition facilitated by inclusion of optical coherence tomography in routine retinal practice, coupled with evolution of enhanced depth optical coherence tomography imaging, multiple studies have attempted to shed light on pathogenesis of this complex pathology, its clinical implications, and treatment of associated complications such as serous macular detachment and choroidal neovascularization with variable success. Our review aims to assimilate, scrutinize, and discuss the available literature for a comprehensive insight into dome-shaped macula.

Keywords: antivascular endothelial growth factor; choroidal neovascularization; dome-shaped macula; extrafoveal-schisis; myopia; optical coherence tomography; posterior staphyloma; ridge shaped macula; serous macular detachment; tilted disc syndrome.

Publication types

  • Review

MeSH terms

  • Fluorescein Angiography / methods
  • Humans
  • Macula Lutea* / pathology
  • Retinal Detachment* / pathology
  • Retrospective Studies
  • Tomography, Optical Coherence / methods
  • Visual Acuity