title: Serous macular detachment associated with dome-shaped macula and tilted disc.
abstract: BACKGROUND
  An entirely new type of staphyloma has been recently described as dome-shaped macula (DSM). It is characterized by an abnormal convex macular contour within the concavity of a posterior staphyloma. We found DSM associated with serous macular detachment (SMD) and tilted disc in two consecutive cases.
  
  
  METHODS
  Case 1: A 37-year-old female presented to our department because of sudden onset blurred vision in her right eye (OD). The best-corrected visual acuity (BCVA) was 0.5 in both eyes. Funduscopy evidenced bilateral tilted disc associated with posterior staphyloma. Optical coherence tomography (OCT) demonstrated a DSM with SMD in her OD. After 15 months of follow-up, BCVA of her OD remained stable with chronic SMD. Case 2: A 32-year-old female presented to our department because of blurred vision in her OD. The BCVA was 0.4 in the OD and 1.0 in the left eye (OS). Bilateral tilted disc and posterior staphyloma were evidenced in the funduscopy. OCT demonstrated a bilateral DSM with SMD in her OD. After 45 months of follow-up, two further episodes of transient SMD were observed in her OD and seven in her OS. The final BCVA was 0.63 in the OD and 0.8 in the OS.
  
  
  CONCLUSIONS
  SMD associated with tilted disc constitutes a potential cause of subretinal fluid accumulation in myopic patients. OCT is essential for the detection of both SMD and DSM.
authors.affiliation: Department of Ophthalmology, University and Polytechnic Hospital La Fe, Barcelona, Spain.
authors.forename: Diamar
authors.initials: D
authors.lastname: Pardo-López
authors.forename: Roberto
authors.initials: R
authors.lastname: Gallego-Pinazo
authors.forename: Carlos
authors.initials: C
authors.lastname: Mateo
authors.forename: Stephanie
authors.initials: S
authors.lastname: Rohrweck
authors.forename: Ana M
authors.initials: AM
authors.lastname: Suelves
authors.forename: Rosa
authors.initials: R
authors.lastname: Dolz-Marco
authors.forename: José Luis
authors.initials: JL
authors.lastname: Mullor
authors.forename: Manuel
authors.initials: M
authors.lastname: Díaz-Llopis
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