title: DOME-SHAPED MACULA WITH THICKENED CHOROID IN AN EMMETROPIC PATIENT.
abstract: OBJECTIVE
  To report a rare case of bilateral dome-shaped macula in an emmetropic patient.
  
  
  METHODS
  Clinical case report and literature review.
  
  
  RESULTS
  A 42-year-old woman presented with a history of blurred vision in the right eye. Visual acuity was 20/30 in the right eye and 20/20 in the left eye. Intraocular pressure and anterior segment were unremarkable. Fundus examination revealed dull macular reflex and subretinal fluid nasal to the fovea in the right eye and a hyperpigmented area inferotemporal to the fovea in the left eye. Spectral domain optical coherence tomography showed subretinal fluid under the fovea in the right eye and elevation of the macula with increased choroidal thickness in both eyes. Fluorescein angiography revealed abnormal hyperfluorescence without any leakage in both eyes. B-scan ultrasound showed irregular globe contour with high internal reflectivity and dome-shaped lesions at the posterior pole in both eyes. Axial length was 24.6 mm in the right eye and 25.6 mm in the left eye.
  
  
  CONCLUSIONS
  Although most commonly reported in myopic eyes, dome-shaped macula can occur in an emmetropic patient and can be associated with subretinal fluid.
authors: University of California, San Francisco, San Francisco, California.
authors: Napang
authors: N
authors: Kedkovid
authors: Armin R
authors: AR
authors: Afshar
authors: Bertil E
authors: BE
authors: Damato
authors: Jay M
authors: JM
authors: Stewart
mesh_terms: D000328:Adult; D002829:Choroid / Q000473:pathology*; D058453:Emmetropia; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000473:pathology; D008266:Macula Lutea / Q000473:pathology*; D012164:Retinal Diseases / Q000473:pathology*