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References:H. Lincoff I. Kreissig. Optical Coherence Tomography of Pneumatic Displacement of Optic Disc Pit Maculopathy. British Journal of Ophthalmology 1998; 82: 367-372N. Shimada, K. Ohno-Matsui, T. Yoshida, Y. Sugamoto, T. Tokoro, M. Mochizuki. Progression from Macular Retinoschisis to Retinal Detachment in Highly Myopic Eyes is Associated with Outer Lamellar Hole Formation. British Journal of Ophthalmology
AcknowledgmentsSanjeev NathMark HarooniYuliya BababekovaSherry Bass
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
The following is a list of links to the companies and contributors of Retinoschisis Invisible to Ophthalmoscopy in High Myopia: http://www.meditec.zeiss.com/us http://www.topconmedical.com/octcases http://www.lulu.com/ http://www.optometricretinasociety.org/pages/home.asp
Possible Clinical Findings in MyopiaPosterior StaphylomaCNVM (Choroidal Neovascularization Membrane)Fuchs SpotLacquer CracksPrimary Open Angle GlaucomaRetinal pits, holes, or tearsCobblestone DegenerationLattice DegenerationRetinal DetachmentDegenerative RPE changesChorioretinal AtrophyPigment MigrationVitreal Retinal TractionRetinoschisisVascular MicrofoldsProptosis
Summary and Conclusions In at least some highly myopic eyes (see example 2), vitreal retinal traction and retinoschisis can be documented with SD OCT. Removal of the traction via vitrectomy and membrane peel as well as intra-vitreal gas injection without vitrectomy may be viable options. In some reported cases, fluid emanating from an optic disc
Note: The vitreal retinal traction in the two inferior sections of the right and left eyes above.
Left Eye Topcon 3D OCT 2 dimensional movie which is composed of 128 horizontal sections beginning from the top and going down. All sections are contained within the green box on the previous page. Note: The movie can be paused or replayed by the use of the control panel at the bottom.
Right Eye Topcon 3D OCT 2 dimensional movie which is composed of 128 horizontal sections beginning from the top and going down. All sections are contained within the green box on the previous page. Note: The movie can be paused or replayed by the use of the control panel at the
All 128 scans through and around the optic nerve head in the right eye demonstrate a peripapillary retinoschisis (PPRS). Several of these sections demonstrate vitreal-retinal traction which is the probable explanation for the PPRS. A similar RS is present in the left eye which is visualized nasally but not temporally. Similar vitreal-retinal traction is documented
