2109 Differentiation between peripheral senile retinoschisis and retinal detachment, the additional value of OCT scans of the peripheral retina obtained with the SL SCAN-1 (Topcon)

SciVee ◽  
2012 ◽  
Author(s):  
Frank D. Verbraak ◽  
Ton G. van Leeuwen ◽  
Stevie Tan ◽  
Marilette Stehouwer
Keyword(s):  
Retinal Detachment ◽  
Peripheral Retina ◽  
Additional Value ◽  
Senile Retinoschisis

scholarly journals Senile retinoschisis versus retinal detachment, the additional value of peripheral retinal OCT scans (SL SCAN-1, Topcon)

2013 ◽  
Vol 92 (3) ◽  
pp. 221-227 ◽  
Author(s):  
Marilette Stehouwer ◽  
Stevie H. Tan ◽  
Ton G. van Leeuwen ◽  
Frank D. Verbraak
Keyword(s):  
Retinal Detachment ◽  
Additional Value ◽  
Senile Retinoschisis

Establishing the Diagnosis

2009 ◽  
Author(s):  
Daniel A. Brinton ◽  
Charles P. Wilkinson
Keyword(s):  
Retinal Detachment ◽  
Posterior Pole ◽  
Peripheral Retina ◽  
Retinal Breaks ◽  
Yellow Color ◽  
Red Color ◽  
The Central Nervous System ◽  
Retinal Artery ◽  
Ciliary Artery ◽  
Choroidal Vessels

The differential diagnosis of rhegmatogenous retinal detachment includes secondary (nonrhegmatogenous) retinal detachment and other entities that may simulate a retinal detachment. Nonrhegmatogenous detachments are categorized as exudative (serous) and tractional detachments. Conditions that may be mistaken for retinal detachment include retinoschisis, choroidal detachment or tumors, and vitreous membranes. Sometimes benign findings in the peripheral retina are mistaken for retinal breaks. The most prominent feature of the fundus is the optic nerve head or disc, the only place in the human body that affords a direct view of a tract of the central nervous system. The foveola, the functional center of the fundus, is located in the center of the fovea, which has a diameter of about 5°. The macula is centered on the fovea and has a diameter of about 17°. The multiple branches of the central retinal artery are readily identifi ed by their bright red color and relatively narrow caliber. The multiple tributaries of the central retinal vein are recognized by their dark red color and relatively wider caliber. In a darkly pigmented fundus, the choroidal vessels in the posterior pole can be obscured from view, but in an eye with minimal pigment, they are readily visible. The venous tributaries of the choroid that make up the vortex veins are usually easily seen. The most prominent features of the choroidal venous system are the vortex ampullae, of which there are usually four (but sometimes more). They are located approximately in the 1-, 5-, 7-, and 11-o’clock meridians, just posterior to the equator. The horizontal meridians are usually identifiable by their radially oriented, long posterior ciliary nerves, and infrequently the long posterior ciliary artery can be seen adjacent to the nerve. The nerve is relatively broad and has a yellow color, and the artery is identifiable by its red color. The artery is usually inferior to the nerve temporally, and superior to it nasally (Figure 5–1).

Peripheral Retinal Degenerations with Risk of Rhegmatogenous Retinal Detachment and Management

2019 ◽  
pp. 142-146
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Peripheral Retina ◽  
Retinal Degenerations ◽  
Lattice Degeneration

Retinal degenerations are common lesions involving the peripheral retina, and most of them are clinically insignificant. Lattice degeneration, cystic retinal tuft, zonular traction tuft, snail track degeneration, degenerative retinoschisis, white without pressure lesions can result in a rhegmatogenous retinal detachment. In this paper, we aimed to discuss peripheric retinal degenerations that predispose retinal detachment and the treatments for them.

scholarly journals Bullous X linked retinoschisis: clinical features and prognosis

2017 ◽  
Vol 102 (5) ◽  
pp. 622-624 ◽  
Author(s):  
Anne-Marie Hinds ◽  
Abigail Fahim ◽  
Anthony T Moore ◽  
Sui Chien Wong ◽  
Michel Michaelides
Keyword(s):  
Retinal Detachment ◽  
Age Of Onset ◽  
Case Series ◽  
Peripheral Retina ◽  
Exudative Retinal Detachment ◽  
Retrospective Case ◽  
Tertiary Centre ◽  
Unilateral Case ◽  
The Mean

Background/AimsA subset of patients with X linked retinoschisis (XLRS) have bullous schisis cavities in the peripheral retina. This study describes the characteristics and prognosis of the bullous form of XLRS.MethodsA retrospective case series was performed of nine patients with molecularly proven bullous XLRS seen at a single tertiary centre.ResultsAll cases of bullous peripheral schisis were bilateral, with one unilateral case at presentation which developed into bilateral bullous schisis over time. The mean age of onset was 1.9 years (range: 1 month–7 years, SD: 2.1 years) and at clinical diagnosis was 5.9 years (range: 1 month–27 years, SD: 9.0 years). Mean follow-up was 11 years (range: 6 months–36 years, SD: 10.8 years). Strabismus was the most common presentation (n=7). Other presenting complaints included decreased vision, floaters and an irregularly shaped pupil. The most frequently associated ocular features were strabismus (100%), vitreous haemorrhage (4/18 eyes, 22%), nystagmus (2/9, 22%) and persistent fetal vasculature (1/18, 6%). Localised tractional detachment was seen in 2/18 (11%) eyes, total detachment that underwent surgical repair in 1/18 (6%) and pigmented demarcation lines in a further 22% of the eyes. There was one eye with exudative retinal detachment.ConclusionIn XLRS, bullous schisis may be congenital or develop soon after birth and most commonly presents with strabismus. Cases may be complicated by some form of retinal detachment, which may be tractional or a Coats-like exudative detachment.

scholarly journals Case report: pneumatic retinopexy for the treatment of progressive retinal detachment in senile retinoschisis

2015 ◽  
Vol 78 (1) ◽  
Author(s):  
Ana Claudia de F. Suzuki ◽  
Leandro Cabral Zacharias ◽  
Tatiana Tanaka ◽  
Diego Neves Rocha ◽  
Walter Y. Takahashi
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Pneumatic Retinopexy ◽  
Senile Retinoschisis

Retinal vasoproliferative tumour secondary to retinitis pigmentosa sine pigmento

2021 ◽  
Vol 14 (5) ◽  
pp. e240878
Author(s):  
Albert John Bromeo ◽  
Sweet Jorlene Lerit ◽  
Amadeo Veloso ◽  
Gary John Mercado
Keyword(s):  
Retinal Detachment ◽  
Retinitis Pigmentosa ◽  
Laser Photocoagulation ◽  
Vision Loss ◽  
Peripheral Retina ◽  
Focal Laser Photocoagulation ◽  
Feeder Vessel ◽  
Eye Examination ◽  
The Right

Retinitis pigmentosa can be associated with exudative vasculopathy in rare instances, which can manifest as retinal vasoproliferative tumours. We present the case of a 33-year-old woman previously diagnosed with retinitis pigmentosa sine pigmentosa in both eyes. She was asymptomatic and just came in for a routine follow-up eye examination. Thorough examination of the peripheral retina on the right eye revealed a dome-shaped retinal tumour with a feeder vessel and surrounding exudative changes at the superotemporal periphery, consistent with a secondary retinal vasoproliferative tumour from retinitis pigmentosa. She subsequently underwent focal laser photocoagulation of the tumour which resulted in tumour stabilisation. While exudative vasculopathy is very uncommon in retinitis pigmentosa, ophthalmologists need to be aware of its occurrence in such patients. Vision loss may occur from exudation, haemorrhage, retinal detachment and neovascularisation. A thorough examination of the peripheral retina is warranted in these cases.

Familial Exudative Vitreoretinopathy (FEVR); Pathophysiology, Findings, Diagnosis, and Treatment

2021 ◽  
pp. 229-235
Keyword(s):  
Retinal Detachment ◽  
Vitreoretinal Surgery ◽  
Current Treatment ◽  
Treatment Modalities ◽  
Peripheral Retina ◽  
Wide Field ◽  
Inherited Disease ◽  
Secondary Complications ◽  
Familial Exudative Vitreoretinopathy ◽  
Retinal Angiogenesis

Familial exudative vitreoretinopathy (FEVR) is an inherited disease occurring due to defective retinal angiogenesis. FEVR patients have an avascular peripheral retina which, depending on the degree of ischemia, causes the secondary complications of the disease (retinal neovascularization, exudation, hemorrhage, and retinal detachment) Mutations in the NDP, FZD4, LRP5, TSPAN12 and ZNF08 genes have been shown to contribute to FEVR. Cases can be inherited in an autosomal dominant, autosomal recessive, or X-linked manner, or can affect individuals with no family history. Examination with wide-field fluorescein angiography is essential and can identify the disease in its earlier stages, enabling the timely treatment, in addition to helping identify asymptomatic family members. The current treatment modalities involve laser photocoagulation of the avascular peripheral retina for neovascular complications and vitreoretinal surgery for retinal detachment. Studies are ongoing to better understand the pathogenesis of FEVR and to improve treatment

Acquired Senile Retinoschisis of the Peripheral Retina Imaged by Spectral Domain Optical Coherence Tomography: A Case Report

2010 ◽  
Vol 20 (6) ◽  
pp. 1079-1081 ◽  
Author(s):  
Gennady Landa ◽  
Belinda L. Shirkey ◽  
Patricia M.T. Garcia ◽  
Tatyana Milman ◽  
Julian P.S. Garcia ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Case Report ◽  
Spectral Domain ◽  
Peripheral Retina ◽  
Optical Coherence ◽  
Senile Retinoschisis
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