Purpose: This article describes a case with a highly myopic eye and a posterior pole with ridge-like lesions.
Methods: Case report.
Results: A 72-year-old man with unilateral high myopia showed poor vision and an extremely elongated axial length in his right eye, but normal vision and normal axial length in his left eye. He was examined using fundus examination and optical coherence tomography, and revealed to have dome-shaped macula with two horizontal ridges connecting the optic disc and the macula in his highly-myopic eye.
Conclusion: The findings suggest that a dome-shaped macula may not be limited to the macula area, but may involve the whole posterior pole and is potentially involved in the elongation of highly myopic eyeballs.