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  • Title: [Dome-shaped macula: appearance on ultrasound and optical coherence tomography].
    Author: Chéour M, Ben Aleya N, Brour J, Falfoul Y, Agrebi S, Skhiri M, Kraïem A.
    Journal: J Fr Ophtalmol; 2013 Oct; 36(8):e145-9. PubMed ID: 23706607.
    Abstract:
    INTRODUCTION: The purpose of our work is to demonstrate the role of optical coherence tomography and ocular ultrasound in the diagnosis of the dome-shaped macula in high myopia. OBSERVATION: We report the case of a patient with high myopia who presented with a decrease in visual acuity and metamorphopsia in the left eye. She underwent visual acuity measurement, biomicroscopic examination and measurement of axial length. B-mode ultrasound and optical coherence tomography showed a projection of the macula in the convexity of the myopic staphyloma confirming the diagnosis of dome-shaped macula. DISCUSSION AND CONCLUSION: Dome-shaped macula is a recently discovered entity, which may be responsible for a decrease in visual acuity in patients with high myopic posterior staphyloma. Ultrasound and optical coherence tomography are very helpful in making the diagnosis.
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