Case ReportDOME-SHAPED MACULOPATHY: ENHANCED VISUALIZATION WITH RADIAL OPTICAL COHERENCE TOMOGRAPHY SCANSChristenbury, Joseph G. MD*; Phasukkijwatana, Nopasak MD, PhD*; Tan, Anna MBBS, Mmed†,‡,§; Freund, K. Bailey MD†,¶; Sarraf, David MD*,††,‡‡Author Information *Retinal Disorders and Ophthalmic Genetics Division, Stein Eye Institute, UCLA, Los Angeles, California; †Vitreous Retina Macula Consultants of New York, New York, New York; ‡LuEsther T Mertz Retinal Research Center, Manhattan, Eye, Ear and Throat Hospital, New York, New York; §Singapore National Eye Center, Singapore Eye Research Institute, Singapore; ¶Department of Ophthalmology, New York University School of Medicine, New York, New York; ††Greater Los Angeles VA Healthcare Center, Los Angeles, California; and ‡‡Department of Ophthalmology, Kaiser Permanente, Woodland Hills, California. Reprint requests: David Sarraf, MD, Jules Stein Eye Institute, 100 Stein Plaza, Los Angeles, CA 90095; e-mail: [email protected] This paper was supported by the Macula Foundation, Inc, New York, NY. K. B. Freund is a consultant for Optos, Optovue, Heidelberg Engineering, Bayer HealthCare, and Genentech. D. Sarraf is a consultant for Optovue and Genentech and receives research grants from Optovue, Genentech, Allergan, and Regeneron. The remaining authors have no financial/conflicting interests to disclose. Retinal Cases & Brief Reports: Winter 2017 - Volume 11 - Issue - p S94-S97 doi: 10.1097/ICB.0000000000000425 Buy Metrics AbstractIn Brief Purpose: To describe two cases of dome-shaped macula (DSM) and serous macular detachment, the diagnosis of which was enhanced with a radial optical coherence tomography (OCT) scanning protocol. Methods: Retrospective case series of DSM associated with serous macular detachment. Multimodal retinal imaging was performed including spectral domain OCT with a radial scan protocol and en face OCT angiography. Anatomical outcomes before and after therapy are presented. Results: Two cases of DSM associated with serous macular detachment are described. The dome-shaped macular bulge was more clearly elicited as the cause of serous macular detachment with the employment of a radial OCT scanning protocol. Subretinal fluid resolved in both cases using either intravitreal aflibercept injection or half-fluence photodynamic therapy. En face OCT angiography of the choroid demonstrated reduction in the caliber of choroidal vessels after treatment. Conclusion: A radial OCT scanning protocol should be considered in eyes with suspicion of DSM, especially in myopic eyes with subretinal fluid. Intravitreal aflibercept therapy or photodynamic therapy may be considered as a treatment for serous macular detachment because of DSM. A radial optical coherence tomography scanning protocol should be considered in eyes with suspicion of dome-shaped macula, especially in myopic eyes with subretinal fluid. Intravitreal aflibercept therapy or photodynamic therapy may be considered as a treatment for serous macular detachment due to dome-shaped macula.