Retinoschisis/Retinal Detachment – Page 3 of 42

History/Chief Complaint

• A 44-year-old unsuspecting and asymptomatic optometrist presented with no complaints, but a concern about the etiology of two large lesions In his right temporal periphery that were detected during a routine optos® exam on the exhibition floor at SECO (Southern Education Council of Optometry).

Clinical Findings

• VA 20/20 OD and OS.
• Normal external exam.
• Ta = 14/16.

Optos®

• Revealed two large round contiguous lesions in the temporal periphery of his right eye.

OCT

• A section through the inferior lesion revealed a retinoschisis (splits within the neurosensory retina).¹
• A section through the superior lesion revealed a retinal detachment (a separation of the neurosensory retina from the retinal pigment epithelium, RPE).¹

Diagnosis

• Retinoschisis and secondary retinal detachment.

Disposition

• Retinal Consult: consider RD surgery or careful follow-up every 3 months for any change.
• Note: no change noted over the next 2 years.