Spontaneous resolution of foveal detachment in dome-shaped macula observed by spectral domain optical coherence tomography
A 28-year-old female Japanese patient with no previous history of ocular disease was referred to our hospital 14 days after complaining of blurred vision in both eyes. She reported that she had flu-like symptoms 7 days before the initial visit. Upon initial examination, her best corrected visual acuity (BCVA) was 1.2 with −8.0 sphere and 0.5 with −8.0 sphere in the right and left eyes, respectively. No significant findings were observed in the anterior segment or vitreous of either eye. Funduscopy showed a mild staphyloma with some pigmentary changes in the fovea in both eyes ( and ). Fluorescein angiography (HRA2; Heidelberg Engineering GmbH, Heidelberg, Germany) showed hyperfluorescence in the fovea in both eyes resulting from a retinal pigment epithelium defect, but there was no leakage point ( and ). Indocyanine green angiography (HRA2; Heidelberg Engineering) in both eyes revealed punctuate hyperfluorescence in the fovea with no vascular hyperpermeability ( and ). SD-OCT (CIRRUS HD-OCT; Carl Zeiss Meditec AG, Jena, Germany) in both eyes showed an anterior bulge of the macula with SFD in the horizontal scan ( and ). The diagnosis of DSM with SFD was made on the basis of characteristic findings from previous studies.– No treatment was initiated.\nThree months later, SFD seen at the initial visit disappeared on SD-OCT ( and ), and the patient’s BCVA was 1.2 and 1.0 in the right and left eyes, respectively. Her symptoms had also subjectively improved. One month later, there was an occurrence of SFD in the right eye ( and ), although subjective visual worsening was not reported. The left eye remained unaffected. One month later, the SFD had disappeared ( and ), and the patient’s BCVA was 0.9 in the right eye.