![]() ![]() DIAGNOSIS Acquired retinoschisis Diagnostic Criteria Signs and symptoms of retinal detachment were reviewed and he was provided with reassurance. No ophthalmologic intervention was necessary. The patient underwent an uncomplicated clinical course. Periphery shows a faint shallow retinoschisis inferotemporally for 4-5 clock hours, much less bullous compared to the right eye.Vitreous: No PVD, no heme or pigment, no vitreous cells.There is an absolute visual field deficit through the entire area.įigure 1a: (OD) Fundus photo showing temporal retinoschisis from 7:00 to 10:00 without identified inner, outer, or full-thickness retinal breaks extending into the temporal macula.įigure 1b: Here is an additional picture of a different patient showing inferotemporal retinoschisis Periphery: Temporal retinoschisis from 7:00 to 10:00 without identified inner, outer, or full-thickness breaks inferior edge adjacent to area of chorioretinal atrophy.Vitreous: No posterior vitreous detachment (PVD), no heme or pigment, no vitreous cells.Lens: 2+ nuclear sclerosis, 1+ posterior subcapsular cataract.OD: Partial superior temporal, inferior temporal deficiencies.Pharmacologically dilated at arrival so unable to test for afferent pupillary defect.OCULAR EXAMINATION Visual Acuity without correction Negative except as listed in history of present illness.Myocardial infarction status post heart stent placement.Coronary artery disease status post carotid endarterectomy.He denied photopsias and had no family history of retinal detachments. The patient previously worked as a welder and had a history of metallic corneal foreign bodies but had not experienced any recent trauma. He reported a 2-year history of floaters and noted decreased nasal visual field in his right eye for several years. Persistent floaters and decreased nasal visual field in right eye History of Present IllnessĪn 83-year-old male was referred to our retina clinic for a retinal detachment which was described as close to the macula in his right eye. ![]()
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