Hocaoglu M, et al. - Researchers performed this retrospective analysis to determine the links between macular complications and demographic, clinical, and optical coherence tomography features (OCT) of highly myopic eyes with a dome-shaped macula (DSM). Ninety patients (167 eyes) with DSM who underwent vertical and horizontal OCT scans between January 2011 and June 2018 were examined. They identified horizontally oriented DSM (71%), symmetric DSM (27%), and vertically oriented DSM (2%) as patterns among 167 eyes. In 63% (106/167) of the eyes, OCT revealed the presence of complications or abnormalities involving the macular area. Choroidal neovascularization (CNV) (37.1%), macular retinoschisis (9.0%), serous retinal detachment (RD) (7.8%), epiretinal membrane (4.2%), lamellar macular hole (3.0%), and macular hole (2.4%) were also documented as specific complications. The possible protective effect of a greater bulge height and thicker choroid against the development of myopic CNV in highly myopic eyes with DSM was suggested. The risk of developing serous RD was reported in relation to a thicker choroid, a higher macular bulge (> 250 μm), and a vertical DSM pattern.