Case #22 – Retinoschisis/Retinal Detachment

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Case 5: Topcon 3D OCT Image of Right Eye Case 5: The horizontal OCT section through the macula reveals the retina Is attached at the fovea but detached temporal to the fovea. An OCT section inferior to the macula reveals the neurosensory retina is completely detached from the RPE across the 6 mm width

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Case 5: Topcon 2D  OCT Movie Case 5: The Topcon 3D OCT 2-dimensional movie documents the retinal detachment. The superior OCT sections (horizontal scans 0-53) reveal an attached retina that appears normal. The detachment of the neurosensory retina first appears in horizontal scan 54 and increases in width

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Case 5: Topcon 3D  OCT Movie of Right eye Case 5: A 57-year-old male with sudden loss of vision superiorly In the right eye. BCVA measured 20/50 OD. The patient had a history of cataracts and glaucoma and first noted the loss of vision two days prior. The Topcon

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Case 4: Topcon 3D OCT Image of Right Eye Case 4: The horizontal OCT section demonstrates the characteristic splitting between the retinal layers in a retinoschisis. Patients with retinoschisis due to vitreal retinal traction may be candidates for vitrectomy and membrane peel as discussed in Retina Revealed Case #4 - Retinoschisis.

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Case 4: Topcon 3D OCT Movie of Right Eye Case 4: A 45-year-old myopic female complained of reduced vision in her right eye. Patient reported that vision in the right eye had always been poor, but had drastically decreased within the last 6 months. Visual acuities were 20/400

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Case 3: OCT Images The right eye with several large round outer retinal holes is documented well with OCT. The vertical OCT section is depicted on the optomap® image by the vertical green arrow. Patients with retinoschisis and outer retinal holes should be followed carefully, but do not typically require treatment.

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Case 3: Optomap® Color Fundus Image of Right Eye A 53-year-old pseudophakic male with macula drusen, peripheral drusen superiorly and disc drusen. BCVA was 20/30 OD.

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Histological Section as Compared to the OCT Image  Although the Photoreceptor Integrity Line, or the PIL (defined as the junction between the inner and outer segments) is barely visible in most histological sections, it is highly prominent in normal SD OCTs. The PIL, as shown above, should be continuous throughout the entire scan

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Case 2: Topcon 2D OCT Movie of Right Eye Case 2: The Topcon 3D OCT 2-dimensional movie Is composed of 128 horizontal sections beginning from the top and going down. The detachment of the neurosensory retina gradually increases and takes up the entire 6 mm width of the box. This indicates the

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