Abstract: Dome-shaped macula (DSM) shows an inward bulge of the retina and choroid in the macula area on optical coherence tomography. The exact pathogenesis of DSM remains unclear, but it is primarily associated with adaptive compensation due to localized sclera thickening. DSM exists in patients with myopia, emmetropia or hypermetropia,  and is more frequently observed in patients with high ametropia. The prevalence rate is about 10%~20% among high myopia people. Common complications of DSM include  serous retinal detachment, choroidal neovascularization, retinoschisis, macular hole and macular epiretinal membrane, etc. Currently, it needs to be further confirmed that whether DSM is a concomitant or a causal relationship with the occurrence of complications. For asymptomatic DSM, regular follow-up observation is recommended. If complications occur and significantly impair visual function, methods such as anti-vascular endothelial growth factor, photocoagulation, photodynamic therapy or manual therapy can be used. (Int Rev Ophthalmol, 2023, 47: 339-344)

Key words: dome-shaped macula, optical coherence tomography, high myopia