Mácula en cúpula asociada a la retinocoroidosis miópica. Utilidad de la espironolactona
- P.Rocha Cabrera
- L.Cordovés Dorta
- D.Ángel Pereira
- J.A.Abreu Reyes
- M.J.Losada Castillo
- J.Lorenzo Morales
- M.Á.Serrano García
ISSN: 0365-6691
Year of publication: 2017
Volume: 92
Issue: 10
Pages: 499-506
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
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. 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.