title: DOME-SHAPED MACULOPATHY: ENHANCED VISUALIZATION WITH RADIAL OPTICAL COHERENCE TOMOGRAPHY SCANS.
abstract: OBJECTIVE
  To describe two cases of dome-shaped macula (DSM) and serous macular detachment, the diagnosis of which was enhanced with a radial optical coherence tomography (OCT) scanning protocol.
  
  
  METHODS
  Retrospective case series of DSM associated with serous macular detachment. Multimodal retinal imaging was performed including spectral domain OCT with a radial scan protocol and en face OCT angiography. Anatomical outcomes before and after therapy are presented.
  
  
  RESULTS
  Two cases of DSM associated with serous macular detachment are described. The dome-shaped macular bulge was more clearly elicited as the cause of serous macular detachment with the employment of a radial OCT scanning protocol. Subretinal fluid resolved in both cases using either intravitreal aflibercept injection or half-fluence photodynamic therapy. En face OCT angiography of the choroid demonstrated reduction in the caliber of choroidal vessels after treatment.
  
  
  CONCLUSIONS
  A radial OCT scanning protocol should be considered in eyes with suspicion of DSM, especially in myopic eyes with subretinal fluid. Intravitreal aflibercept therapy or photodynamic therapy may be considered as a treatment for serous macular detachment because of DSM.
authors: *Retinal Disorders and Ophthalmic Genetics Division, Stein Eye Institute, UCLA, Los Angeles, California; †Vitreous Retina Macula Consultants of New York, New York, New York; ‡LuEsther T Mertz Retinal Research Center, Manhattan, Eye, Ear and Throat Hospital, New York, New York; §Singapore National Eye Center, Singapore Eye Research Institute, Singapore; ¶Department of Ophthalmology, New York University School of Medicine, New York, New York; ††Greater Los Angeles VA Healthcare Center, Los Angeles, California; and ‡‡Department of Ophthalmology, Kaiser Permanente, Woodland Hills, California.
authors: Joseph G
authors: JG
authors: Christenbury
authors: Nopasak
authors: N
authors: Phasukkijwatana
authors: Anna
authors: A
authors: Tan
authors: K Bailey
authors: KB
authors: Freund
authors: David
authors: D
authors: Sarraf
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D012164:Retinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D058471:Subretinal Fluid / Q000000981:diagnostic imaging; D041623:Tomography, Optical Coherence / Q000379:methods*