PMC3214892_01
a-d Color retinography of both eyes in which posterior staphyloma and tilted disc are evident. b-e Fluorescein angiography showing retinal epithelial disturbance within the inferior and temporal macular area of the right eye; the left eye shows no abnormality. c Optical coherence tomography evidences dome-shaped macula and serous macular detachment in the right eye. f Optical coherence tomography evidences the presence of dome-shaped macula without subretinal fluid in the left eye.
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F1
A posterior staphyloma and tilted disc in OU were evidenced in the funduscopy (fig. 1a-d), hinting serous macular detachment (SMD) in the OD was confirmed by optical coherence tomography (OCT) (fig. 1c). An abnormal convex profile of the macular region was noticed within the concavity of the posterior staphyloma (fig. 1c-f). Fluorescein angiography (FA) ruled out the presence of a neovascular membrane and detected a leakage point corresponding to the disturbance of the retinal pigment epithelium by the posterior wall of the staphyloma (fig. 1b).
PMC3214892_02
a-d Color retinography of both eyes in which posterior staphyloma and tilted disc are evident. b-e Fluorescein angiography showing juxtafoveal retinal pigment epithelial disturbance in the right eye, and extrafoveal retinal pigment epithelial disturbance in the left eye. c Optical coherence tomography evidences dome-shaped macula and serous macular detachment in the right eye. f Optical coherence tomography evidences the presence of dome-shaped macula without subretinal fluid in the left eye.
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F2
OU were evidenced in the funduscopy (fig. 2a-d). OCT showed a DSM in OU with a SMD in her OD (fig. 2c-f). FA confirmed the presence of a subtle leakage in the OD and RPE disturbances in OU (fig. 2b-e).