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Ophthalmic Images
April 13, 2017

Ultra Wide-Field Laser Scanning Imaging of an Unusually Bullous Retinoschisis: Retinoschisis vs Detachment

Author Affiliations
  • 1Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, England
  • 2University Hospitals Coventry and Warwickshire NHS Trust, Coventry, England
JAMA Ophthalmol. 2017;135(4):e165479. doi:10.1001/jamaophthalmol.2016.5479

An asymptomatic, hypermetropic man in his 40s with a suspected macula-on retinal detachment underwent ultra wide-field laser scanning imaging (California P200DTx; Optos). This revealed a bullous right supero-temporal retinoschisis with “honeycomb” degeneration, dark inner layer vessels, and a rolled edge containing an outer leaf break extending posteriorly (Figure). The left eye had a long-term inferotemporal schisis detachment, which was treated with barrier laser retinopexy at its posterior border.

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