Peripapillary Retinoschisis in POAG (Circular Scan OCT)
Peripapillary Retinoschisis in POAG (Circular Scan OCT)
Circular OCT of the peripapillary area of OD showed (a) inner retinal schisis cavity in peripapillary region (arrows) and (b) a thinning of the retinal nerve fiber layer (*)
A 56-year-old man with a four-year history of glaucoma presented with IOPs of 16 right eye (OD) and 11 left eye (OS) and open angles. Manifest refraction was −2.50 diopters OD and −2.75 diopters OS. VA was cc 0.8 OD, and cc 1.0 OS.
The OD had peripapillary retinoschisis from 10h to 2h with no apparent vitreous detachment or optic nerve pit. There was superonasal cupping to the disk margin in the area of the schisis.
Standard optical coherence tomography (OCT,Spectralis, HE) artifactually reported a schisis cavity and revealed RNFL thinning in the same segment of the OD.
Michelson, Georg, Prof. Dr. med., Interdisciplinary Center of Ophthalmic Preventive Medicine and Imaging, Department of Ophthalmology, Friedrich-Alexander-University, Erlangen, Germany
