USE OF SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHY TO DIFFERENTIATE ACQUIRED RETINOSCHISIS FROM RETINAL DETACHMENT IN DIFFICULT CASES

• DOI: 10.1097/iae.0b013e3182411d90
• Publication Date: 2012-04-05T09:49:14Z
• Authors: Jonathan Yeoh; Waheeda Rahman; Fred K. Chen; Lyndon da Cruz
• Keywords: Retinoschisis

In Brief Purpose: This study presents a series of 10 patients who posed diagnostic challenge regarding the diagnosis acquired retinoschisis (RS) or retinal detachment (RD), where spectral-domain optical coherence tomography (OCT) with Spectralis HRA and OCT device (Heidelberg Engineering, Heidelberg, Germany) was able to help make correct diagnosis. Methods: Ten (five RS five RD) were referred vitreoretinal clinic at Moorfields Eye Hospital for definitive further management. All underwent scans device. Results: The clear RD in all patients. Of confirmed on OCT, two RD, four RS. New features include double schisis cavity phenomenon, intraretinal pillars through cavity, irregularity inner surface attached outer leaf. Conclusion: Spectral-domain is useful tool distinguishing from eliminating previous uncertainty. has added advantages being reliably image anterior pathology produce high-definition images. Distinguishing between can sometimes pose challenge. Clinical ancillary tests be misleading. We present assisted establishing particularly important cases institute early treatment prevent irreversible visual loss. also describe new made possible by using Germany).