2Prof. Dr., Uz. Dr., İstanbul Üniversitesi İstanbul Tıp Fakültesi, Göz Hastalıkları A.D., İstanbul, Türkiye Purpose: To report the clinical features, complications, follow-up and treatment outcomes of patients with dome-shaped maculopathy.
Materials and Methods: Medical records of patients with dome-shaped maculopathy diagnosed by spectral domain optical coherence tomography (SD-OCT) were reviewed retrospectively. Enhanced depth imaging (EDI) mode of the machine was used for measurement of subfoveal choroidal thickness (SCT). Complications accompanying with this pathology were recorded.
Results: Twenty-nine eyes of 18 patients were included in the study. Eleven (61.1%) patients had bilateral dome appearance. The median spherical equivalent value was found - 4.00 D (range, +5.25 ? - 19.5) and the mean axial length was 25.74±2.17 mm (21.58 - 30.29 mm). The median central retinal thickness was 236 ?m (range, 66-545 ?m) and the median SCT was 251 ?m (range, 23-566 ?m). Serous retinal detachment was detected in 6 eyes (20.7%), choroidal neovascularization in 4 eyes (13.8%), epiretinal membrane in 3 eyes (10.3%) and retinoschisis in 1 eye (3.4%). SCT in eyes with serous retinal detachment (mean 385.3 ?m) was found to be thicker than those without serous retinal detachment (mean 229.8 ?m) (p <0.05).
Conclusions: Dome-shaped maculopathy is a structural pathology of the macula that can be detected with OCT. Serous retinal detachment and choroidal neovascularization are the most common complications that can be detected in the course of the disease. Choroidal thickness is signifi cantly increased in those with serous retinal detachment and probably has a role for the development of complications.
Keywords : Optical coherence tomography, retinal detachment, choroidal neovascularization