Traumatic macular retinoschisis: A rare clinical entity
Author: Manoj Shettigar (India)
Traumatic macular retinoschisis is a rare clinical entity which carries poor visual prognosis.
Regional Institute of Ophthalmology, Pt. B.D. Sharma PGIMS Rohtak, Haryana
18 year old male presented with loss of vision in right eye for 6 years following hit by a shoe. His BCVA (Snellen) was Finger Counting at 2 meter in right eye and 20/20 in left eye. Anterior Segment examination was within normal limits. Fundus examination revealed neurosensory detachment involving macula extending from disc to 3DD temporal to fovea with yellow dots on posterior surface of detached fovea. ILM folds were seen radiating from disc to fovea. Multiple glistening patches on the retinal surface suggestive of ERM were seen. SD-OCT of affected eye showed altered foveal contour with subretinal fluid with splitting of the neurosensory retina at various levels and disruption of outer nuclear layer, cystic disruption of the outer plexiform layer and disruption of the external limiting membrane, ellipsoid zone and interdigitation zone in the foveal regions. Multiple large schisis cavities could be seen under fovea. Thin irregular band of moderately reflective tissue seen over retina suggestive of ERM.
SD-OCT of right eye showed Traumatic macular retinoschisis
On the basis of clinical findings and OCT examination, diagnosis of Right eye Traumatic macular retinoschisis was made. Traumatic macular retinoschisis is a rare clinical entity which carries poor visual prognosis.
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