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Medicine (Baltimore) ; 101(3): e28652, 2022 Jan 21.
Article in English | MEDLINE | ID: mdl-35060557

ABSTRACT

RATIONALE: Peripapillary hyperreflective ovoid mass-like structures (PHOMS) and dome-shaped macula (DSM) are 2 optical coherence tomography findings reported in 2018 and 2008, respectively. To date, there have been no ophthalmic case reports of concomitant PHOMS and DSM. PATIENT CONCERNS: A 19-year-old woman presented to our clinic with complaints of decreased vision in both eyes. DIAGNOSIS: The patient was diagnosed with PHOMS and a dome-shaped macula complicated by subretinal fluid in both eyes. INTERVENTIONS: A micropulse laser under the guidance of Indocyanine green angiography was applied to the hyperfluorescent areas and drugs to improve retinal microcirculation. OUTCOMES: No response to any intervention over the 41 months of follow-up, her visual acuity remained the same, and the subretinal fluid often recurred. LESSONS: PHOMS and DSM are associated with myopia; myopia may be a mediator between PHOMS and DSM. Dome-like structural changes may occur in different parts of the retina (optic disc and macula), caused by asymmetric myopic posterior scleral growth.


Subject(s)
Macula Lutea/diagnostic imaging , Macular Degeneration , Myopia , Retinal Diseases/diagnosis , Adult , Angiography , Female , Fluorescein Angiography , Humans , Indocyanine Green , Retina , Retinal Diseases/etiology , Retrospective Studies , Tomography, Optical Coherence , Visual Acuity , Young Adult
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