Epiretinal Membrane in Dome-Shaped Macula Complicated with Serous Retinal Detachment: Transient Efficacy of Surgery

Dome-shaped macula (DSM) is an entity recently described as a convex anterior protrusion of the macular area within a posterior myopic staphyloma. Specific complications were associated with DSM, like serous retinal detachment (SRD). We describe a woman presenting with a decreased vision at 20/50. S...

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Bibliographic Details
Published in:Case reports in ophthalmology 2017-11, Vol.8 (3), p.515-520
Main Authors: Soudier, Guillaume, Gaudric, Alain, Gualino, Vincent, Nardin, Mathieu, Speeg-Schatz, Claude, Gaucher, David
Format: Article
Language:English
Subjects:
Case Report
Case reports
Dome-shaped macula
Edema
Epiretinal membrane
Ethics
Hypotheses
Medical imaging
Myopia
Ophthalmology
Retina
Surgery
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Summary:Dome-shaped macula (DSM) is an entity recently described as a convex anterior protrusion of the macular area within a posterior myopic staphyloma. Specific complications were associated with DSM, like serous retinal detachment (SRD). We describe a woman presenting with a decreased vision at 20/50. SD-OCT scans were performed, showing a macular bulge. SRD was present and an epiretinal membrane could also be observed. Fluorescein angiography and indocyanin green angiography did not show any leakage nor choroidal neovascularization. Epiretinal membrane peeling was performed, and 3 months after surgery, SRD completely disappeared. However, SRD reappeared 1 year after surgery and enlarged within 2 years following surgery. In conclusion, two mechanisms could be considered for physiopathology of SRD: first, the epiretinal membrane may have exerted traction on the macular retina, second, vitreous body might constitute a tank for cytokines and/or other factors, triggering subretinal fluid accumulation, leading to SRD.
ISSN:1663-2699
1663-2699
DOI:10.1159/000481703