Peripapillary Schisis with Serous Detachment in Advanced Glaucoma

Abstract

Peripapillary retinoschisis with an underlying serous detachment may develop in subjects with advanced glaucoma. Although the occurrence of the findings in this case may be unrelated to glaucomatous optic neuropathy, the likelihood that a pathogenic mechanism linked to advanced glaucoma may be responsible for the development of peripapillary schisis and serous detachment should alternatively be taken into consideration. This case documents its spontaneous resolution without intervention.

Wide-Field En Face Swept-Source Optical Coherence Tomography Features of Extrafoveal Retinoschisis in Highly Myopic Eyes

“…It showed subtle dehiscence at the nerve fiber layer in sectional OCT scans, but the affected area was dramatically larger than expected from an en face view. Recent studies showed that peripapillary retinoschisis was occasionally detected in glaucomatous eyes, [21][22][23] but all our subjects denied history of glaucoma. Intraocular pressure and perimetry test were within normal range.…”

Effect of peripapillary retinoschisis on retinal nerve fibre layer thickness measurement in glaucomatous eyes

“…All cases of peripapillary retinoschisis were transient and were resolved without additional management within a median period of 9 months, and no eye showed recurrent peripapillary retinoschisis within the same area during the study period. Previous studies also reported spontaneous resolution of peripapillary retinoschisis 10 11…”

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

“…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.…”