0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Macular Caldera in North Carolina Macular Dystrophy Only an Illusion of Posterior Pole Staphyloma

Connie Chen, MD1; Rahul N. Khurana, MD2; Hendrik Scholl, MD1; Morton Goldberg, MD1
[+] Author Affiliations
1Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland
2Northern California Retina Vitreous Associates, Mountain View
JAMA Ophthalmol. 2014;132(6):786-787. doi:10.1001/jamaophthalmol.2014.1705.
Text Size: A A A
Published online

Extract

To the Editor We read with interest the article by Schoenberger and Agarwal titled “Intrachoroidal Cavitation in North Carolina Macular Dystrophy.”1 They describe 2 patients who had bilateral macular “staphylomas.” We disagree with the nomenclature (staphyloma) used to describe these advanced macular lesions and favor the term macular caldera, as previously explained by Khurana et al.2Staphyloma refers to a definite outpouching of the sclera that is lined with uveal tissue. Although Schoenberger and Agarwal demonstrate with optical coherence tomography (OCT) the posterior bowing of the central macula, the entire sclerochoroidal interface is not well visualized on their conventional spectral-domain OCT.

Figures in this Article

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 2.
B-Scan Ultrasonographic Image From Patient With North Carolina Macular Dystrophy

B-scan ultrasonographic image captured through the macular lesion shows no outpouching of the sclera.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 1.
Enhanced-Depth Imaging Optical Coherence Tomographic Images of the Advanced Macular Lesion in North Carolina Macular Dystrophy

Only minimal (microscopic) convexity of the sclera underlying the macular lesion is seen. Note absence of choroidal attenuation or stretching. Red arrowheads indicate lesion borders; white arrowheads, sclerochoroidal interface.

Graphic Jump Location

Tables

References

Correspondence

June 1, 2014
Anita Agarwal, MD; Scott D. Schoenberger, MD
1Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee
JAMA Ophthalmol. 2014;132(6):787. doi:10.1001/jamaophthalmol.2014.1781.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

221 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();