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Suggested Readings S.C.K. Cheng, M.K.H. Yap, E. Goldschmidt, P.G. Swann, L.H.Y. Ng, C.S.Y. Lam. 2008. Use of Optomap with lid retraction and its sensitivity and specificity. Clin Exp Optom 91(4): 373-378.H. Lincoff, I. Kreissig, D. Uram. 2009. Minor surgery for the repair of retinal detachment emanating from retinoschisis. Acta Ophthalmol 87: 281-284.N. Shimada, K. Ohno-Matsui,
References M. Ip, C. Garza-Karren, J.S. Duker, E. Reichel, J.C. Swartz, A. Amirikia, C.A. Puliafito. 1999. Differentiation of Degenerative Retinoschisis from Retinal Detachment Using Optical Coherence Tomography. Ophthalmology 106(3): 600-605.V. Tanner, D. Harle, J. Tan, B. Foote, T.H. Williamson, A.H. Chignell. 2000. Acute posterior vitreous detachment: the predictive value of vitreous pigment and symptomatology. Br
Acknowledgments Sanjeev Nath Jeremy Whitney Sheikh M Hossain
Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a contributing
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Comments and Conclusion (cont'd) In 1964, laser photocoagulation was shown to blanch areas of a retinoschisis, but have no effect on areas associated with a retinal detachment.1,4 It was believed laser photocoagulation could be used to differentiate between the two disorders. However, it was later shown that it was not completely adequate in distinguishing a
Comments and Conclusions Retinoschisis is typically characterized by the splitting of the neurosensory retinal layers which is consistent with histological findings.1 The splitting of the retina is usually found at the outer plexiform layer.1 In comparison, a retinal detachment is the separation of the neurosensory retina from the underlying RPE.1 Differentiating between a retinoschisis
Case 10: DGH B-Scan Scanmate The DGH B-Scan Scanmate below is a vertical slice through the abnormal optic nerve head (excavation) and the retinoschisis (elevation) inferior to the optic nerve head. For the full case study go to : Case #8 - "Morning Glory" Disc Coloboma
Case 10: DGH B-Scan Scanmate The B-Scan movie represents a series of vertical slices through the optic nerve head and the retinoschisis inferior to the optic nerve head.
Case 10: Topcon 3D OCT Demonstrating Elevation of the Retina Below the Disc The sequential 2D horizontal sections (slices #74,75,76 and 77) demonstrate the presence of numerous subtle retinoschisis (see red arrows) changes at different levels of the retina inferior to the disc. Note the splitting and elevation
