First Author: Y.Ozdamar Erol TURKEY
Co Author(s): P. Kaya D. Ozcelik Soba P. Yilmazbas
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To describe the association of peripapillary retinoschisis, serous macular detachment and advanced glaucoma
Ulucanlar Eye Training and Resarch Hospital
A 47-year-old male patient applied to our clinic because of the decreased vision in the right eye for two monts. Ocular examination and optical coherence tomography (OCT) imagings were performed
The best corrected visial acuity was 20/50 in the right eye and 20/20 in the left eye. Intraocular pressure was 34 mmHg OD and 30 mmHg OS. Anterior segments were normal and angles were open to the scleral spur in both eyes. Fundus examination revelad macular detachment in the right eye and was unremarkable in the left eye, and his cup to optic disc ratio was 0,8 OD and 0,4 OS (Figure 1). OCT imaging showed peripapillary retinoschisis with underlying serous macular detachment in the the right eye (Figure 2). The macula was normal in the left eye in OCT (Figure 3). The optic disc sizes were similar and normal. Fundus fluorescein angiography could not be done because of the patient’s allergy history. The patient did not have history of any systemic disorders and drug administration. These findings were compatible with the association of peripapiller retinoschisis and serous macular detachment in the right eye with acquired enlarged optic nerve head.
Peripapillary retinoschisis and serous macular detachment may develop in eyes with uncontrolled glaucoma in the absence of obvious congenital anomalies of the disc. The advanced glaucoma may be responsible for the development of peripapillary schisis and serous detachment