Chéour M, Ben Aleya N, Brour J, Falfoul Y, Agrebi S, Skhiri M, Kraïem A
Service d'ophtalmologie, faculté de médecine de Tunis, université de Tunis El Manar, CHU Habib Thameur, 8, rue Ali Ben Ayed, 1008 Tunis, Tunisie.
J Fr Ophtalmol. 2013 Oct;36(8):e145-9. doi: 10.1016/j.jfo.2012.10.014. Epub 2013 May 22.
The purpose of our work is to demonstrate the role of optical coherence tomography and ocular ultrasound in the diagnosis of the dome-shaped macula in high myopia.
We report the case of a patient with high myopia who presented with a decrease in visual acuity and metamorphopsia in the left eye. She underwent visual acuity measurement, biomicroscopic examination and measurement of axial length. B-mode ultrasound and optical coherence tomography showed a projection of the macula in the convexity of the myopic staphyloma confirming the diagnosis of dome-shaped macula.
Dome-shaped macula is a recently discovered entity, which may be responsible for a decrease in visual acuity in patients with high myopic posterior staphyloma. Ultrasound and optical coherence tomography are very helpful in making the diagnosis.
我们这项工作的目的是证明光学相干断层扫描和眼部超声在高度近视性黄斑圆顶状病变诊断中的作用。
我们报告了一例高度近视患者，其左眼出现视力下降和视物变形。她接受了视力测量、生物显微镜检查和眼轴长度测量。B超和光学相干断层扫描显示黄斑在近视性葡萄肿凸面的投影，确诊为黄斑圆顶状病变。
黄斑圆顶状病变是最近发现的一种情况，可能是高度近视后巩膜葡萄肿患者视力下降的原因。超声和光学相干断层扫描对做出诊断非常有帮助。
