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摘要:
Objective: To report a case series of dome-shaped macula (DSM) and serous retinal detachment (SRD). Methods: A retrospective and observational case series study was performed at two centers of ophthalmology in Rosario-Argentina from January 2016 to December 2017. Eight eyes of 5 patients diagnosed with dome-shaped macula with subfoveal hyporeflective zone seen in optical coherence tomography (OCT) were included. Best-corrected visual acuity (BCVA), OCT, fluorescein angiography (FA), differential diagnoses, clinical course and different treatments were reviewed. Results: Baseline visual acuity ranged from 20/25 to 20/200. OCT revealed that the retinal choroidal macular complex had a convex shape and exhibited foveal neurosensory retinal detachment in all cases. FA showed mild diffuse hyperfluorescence due to changes in the retinal pigment epithelium (RPE). No sign of leakage was observed. Different treatments were used, including intravitreal antiangiogenic drugs, oral spironolactone, melatonin and observation. Follow-up time was between 6 and 18 months. BCVA and OCT findings remained unchanged after different options of treatment. Conclusions: DSM is an unusual entity, which can be confused with other maculopathies that cause neurosensory retinal detachment and do not respond to different types of treatment. Hence, in our opinion, observation is a reasonable approach for this disorder.
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篇名 Dome-Shaped Macula and Foveal Neurosensory Retinal Detachment—A Case Series
来源期刊 眼科学期刊(英文) 学科 医学
关键词 Dome-Shaped MACULA SEROUS RETINAL DETACHMENT Subretinal Fluid
年,卷(期) 2019,(3) 所属期刊栏目
研究方向 页码范围 151-160
页数 10页 分类号 R73
字数 语种
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节点文献
Dome-Shaped
MACULA
SEROUS
RETINAL
DETACHMENT
Subretinal
Fluid
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研究去脉
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眼科学期刊(英文)
季刊
2165-7408
武汉市江夏区汤逊湖北路38号光谷总部空间
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241
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0
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