• Wei Zhang, Da-Guang Bi, Xiao-Yan Peng, and Wei Gu.
• Department of the Ophthalmology, Beijing Aier Intech Eye Hospital, Beijing, China.
• Medicine (Baltimore). 2022 Jan 21; 101 (3): e28652e28652.

RationalePeripapillary hyperreflective ovoid mass-like structures (PHOMS) and dome-shaped macula (DSM) are 2 optical coherence tomography findings reported in 2018 and 2008, respectively. To date, there have been no ophthalmic case reports of concomitant PHOMS and DSM.Patient ConcernsA 19-year-old woman presented to our clinic with complaints of decreased vision in both eyes.DiagnosisThe patient was diagnosed with PHOMS and a dome-shaped macula complicated by subretinal fluid in both eyes.InterventionsA micropulse laser under the guidance of Indocyanine green angiography was applied to the hyperfluorescent areas and drugs to improve retinal microcirculation.OutcomesNo response to any intervention over the 41 months of follow-up, her visual acuity remained the same, and the subretinal fluid often recurred.LessonsPHOMS and DSM are associated with myopia; myopia may be a mediator between PHOMS and DSM. Dome-like structural changes may occur in different parts of the retina (optic disc and macula), caused by asymmetric myopic posterior scleral growth.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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