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Ophthalmic Images
November 9, 2017

En Face Optical Coherence Tomography of Stellate Nonhereditary Idiopathic Foveomacular Retinoschisis

Author Affiliations
  • 1Drexel University College of Medicine, Philadelphia, Pennsylvania
  • 2Department of Ophthalmology, Hahnemann University Hospital, Philadelphia, Pennsylvania
  • 3Mid Atlantic Retina, Retina Service, Wills Eye Hospital, Philadelphia, Pennsylvania
  • 4Thomas Jefferson University, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2017;135(11):e174280. doi:10.1001/jamaophthalmol.2017.4280

A woman in her 60s presented with 2 months of blurred vision in the left eye, with visual acuity of 20/40. Examination of the left ocular fundus revealed spokelike foveal cysts. Fluorescein angiography showed no foveal leakage. En face optical coherence tomography (Optovue Inc) in the left eye revealed stellate hyporeflectivity (Figure, A). A retinal cross-section scan revealed foveomacular retinoschisis involving the outer plexiform layer (Figure, B). The fellow eye was normal. Without evidence of X-linked retinoschisis, niacin or taxane use, enhanced S-cone syndrome, glaucoma, traction, optic pit, or pathologic myopia, the patient was diagnosed as having stellate nonhereditary idiopathic foveomacular retinoschisis.