Case #26 – Range of Retinoschisis

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An optomap® image taken 2 years after the image on the previous page reveals a dark red semicircle from a hemorrhage confined to the inferior circumference of the lesion most likely due to gravitational factors.

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Case 4: An asymptomatic 40-year-old male presented for follow-up of a superior temporal retinoschisis found two years earlier in this left eye. BCVA measured 20/20 OU. Above is the optomap® image of the retinoschisis when it was first noted two years prior.

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Case 3: OCT and Optomap® Color Image 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

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Case 3: Optomap® Color Fundus Image of Right Eye Case 3: A 53-year-old pseudo-phakic male with macula drusen, peripheral drusen superiorly and disc drusen. BCVA 20/30 OD. (Note Case 3 was also used in Retina Revealed Issue 22)

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B-Scan Images of Right and Left Eye A B-scan ultrasound is very useful in determining if a retinal elevation is cystic or solid. In this case, the B-scan images revealed that the inferior temporal lesion in the right eye was a shallow retinoschisis and the superior temporal lesion in the left

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Case 2: Optomap® Fundus Image Comparison of Left Eye The mottling in the left eye temporally probably represents peripheral cystoid degeneration, which can be a precursor for the development of another retinoschisis.    

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