Purpose: To present a successful case of macular hole surgery in a patient with dome-shaped maculopathy (DSM).
Observations: Patient with DSM had successful closure of a full-thickness macular hole with surgery. There was persistent subretinal fluid after the surgery, which showed some response to a combination of a diuretic and a nonsteroidal anti-inflammatory drug (NSAID).
Conclusions and importance: Full-thickness macular hole in DSM may be effectively managed with modern surgical techniques.
Keywords: NSAID; dome-shaped maculopathy; macular hole surgery; serous retinal detachment; spironolactone.
© 2021 Lee and Gallemore.