Dome shaped macula associated with myopic retinochoroidosis. Use of spironolactone.

Authors :: Rocha Cabrera P
Cordovés Dorta L
Ángel Pereira D
Abreu Reyes JA
Losada Castillo MJ
Lorenzo Morales J
Serrano García MÁ
Source :: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol] 2017 Oct; Vol. 92 (10), pp. 499-506. Date of Electronic Publication: 2016 Jul 09.
Publication Year :: 2017
Abstract: Cases Reports: The cases are presented of three women of 22, 36 and 55 years old with bilateral myopic retinochoroidosis. They had unilateral decreased visual acuity, normal bilateral tonometry, and biomicroscopy. Funduscopy showed bilateral and unilateral myopic maculopathy, and Optical Coherence Tomography (OCT) showed a dome shaped macula with neurosensory detachment. Treatment was started with spironolactone and an improvement by OCT was shown in all cases.<br />Discussion: The etiopathogenic mechanism of the dome shaped macula is discussed. OCT demonstrated to be the fundamental test in the follow-up of this condition. After the evidence shown, initial treatment with spironolactone is suggested.<br /> (Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.)

Subjects :: Adult
Chorioretinitis drug therapy
Drug Substitution
Female
Humans
Middle Aged
Myopia physiopathology
Ranibizumab therapeutic use
Receptors, Mineralocorticoid metabolism
Receptors, Vascular Endothelial Growth Factor therapeutic use
Recombinant Fusion Proteins therapeutic use
Tomography, Optical Coherence
Young Adult
Chorioretinitis etiology
Macula Lutea pathology
Myopia etiology
Spironolactone therapeutic use

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