Peripapillary and macular retinoschisis in a patient with pseudoexfoliation glaucoma

Örnek, Nurgül; Büyüktortop, Nesrin; Örnek, Kemal

doi:10.1136/bcr-2013-009469

Cited by 13 publications

(8 citation statements)

References 8 publications

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“…Peripapillary and macular schisis has been described in POAG[ 13 ], sometimes associated with serous detachment in eyes with a large optic nerve head cup[ 14 ], pseudoexfoliation glaucoma [ 15 ] and normal tension glaucoma. [ 8 ] The differential diagnosis of splitting in our patients includes myopic foveoschisis, tractional retinoschsis and traction on the disc.…”

Section: Discussionmentioning

confidence: 99%

Peripapillary retinal splitting visualized on OCT in glaucoma and glaucoma suspect patients

et al. 2017

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PurposeTo identify the risk factors for development of peripapillary retinal splitting (schisis) in patients with glaucoma or suspicion of glaucomaSettingGlaucoma Clinic, Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, ILMethodsIn this institutional cross-sectional study, 495 patients (990 eyes) who had undergone spectral-domain optical coherence tomography (OCT Spectralis HRA-OCT, Heidelberg Engineering) optic nerve head (ONH) imaging and did not have identifiable optic nerve pits, pseudopits or coloboma were included. OCT scans were reviewed by two observers.Main outcome measuresPresence of peripapillary retinal splitting identified on OCT raster scans.ResultsEleven of 990 glaucoma and glaucoma suspect eyes (1.1%) of 7 patients (2 females, 5 males, mean age 64.5 ± 9.2 years) had peripapillary retinal splitting. Two of these 11 eyes had extension of the splitting into the macula but none to the fovea. Of these 11 patients, 2 (28.6%) were glaucoma suspects, 3 (42.9%) had primary open-angle glaucoma, 1 (14.3%) had chronic angle-closure glaucoma and 1 (14.3%) had pigmentary glaucoma. 7/11 (63.6%) eyes had vitreous traction to the disc visualized on OCT and 6/11 eyes (54.5%) had beta-zone peripapillary atrophy.ConclusionsWe observed peripapillary retinal splitting in 1.1% of a series of 990 glaucoma and glaucoma-suspect eyes. Evidence of adherent vitreous with traction and peripapillary atrophy was found in a majority of the involved eyes. A comparison to an age and axial length matched cohort is required to determine if this is a condition that is associated with glaucoma.

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Section: Discussionmentioning

confidence: 99%

Peripapillary retinal splitting visualized on OCT in glaucoma and glaucoma suspect patients

et al. 2017

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“…Peripapillary retinoschisis is characterized by the splitting of the peripapillary retinal nerve fiber layer. Previously, several case reports have described peripapillary retinoschisis in patients with different types of glaucoma, including primary open angle glaucoma, normal-tension glaucoma, narrow angle glaucoma, angle-closure glaucoma, and pseudoexfoliation glaucoma [ 8 – 12 ]. However, the clinical features were variable and the pathogenic mechanisms were different.…”

Section: Introductionmentioning

confidence: 99%

Peripapillary Retinoschisis in Glaucoma Patients

Bayraktar

Cebeci

Kabaalioglu

et al. 2016

Journal of Ophthalmology

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Purpose. To investigate peripapillary retinoschisis and its effect on retinal nerve fiber layer (RNFL) thickness measurements by using spectral-domain optical coherence tomography (SD-OCT) in glaucomatous eyes. Methods. Circumpapillary RNFL (cpRNFL) B-scan images of 940 glaucoma patients (Group 1) and 801 glaucoma-suspect patients (Group 2) obtained by SD-OCT were reviewed. The structural and clinical characteristics of the retinoschisis were investigated. The RNFL thickness measurements taken at the time of retinoschisis diagnosis and at the follow-up visits were also compared. Results. Twenty-nine retinoschisis areas were found in 26 of the 940 glaucoma patients (3.1%) in Group 1 and seven areas were found in 801 patients (0.87%) in Group 2. In glaucomatous eyes, the retinoschisis was attached to the optic disc and overlapped with the RNFL defect. At the time of retinoschisis, the RNFL thickness was statistically greater in the inferior temporal quadrant when compared with the follow-up scans (p < 0.001). No macular involvement or retinal detachment was observed. Conclusion. The present study investigated 33 peripapillary retinoschisis patients. Increase in RNFL thickness measurements was observed at the time of retinoschisis. It is important to examine the cpRNFL B-scan images of glaucoma patients so that the RNFL thickness is not overestimated.

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“…Although nasal and peripapillary retinoschisis have been demonstrated in patients with glaucoma, involvement of nasal retina is not well known in XLRS. [ 4 5 ]…”

Section: Discussionmentioning

confidence: 99%

Nasal involvement in X-linked retinoschisis

Kumar

2017

Indian J Ophthalmol

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Peripapillary and macular retinoschisis in a patient with pseudoexfoliation glaucoma

Cited by 13 publications

References 8 publications

Peripapillary retinal splitting visualized on OCT in glaucoma and glaucoma suspect patients

Peripapillary retinal splitting visualized on OCT in glaucoma and glaucoma suspect patients

Peripapillary Retinoschisis in Glaucoma Patients

Nasal involvement in X-linked retinoschisis

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