Clinical Characteristics of Idiopathic Foveomacular Retinoschisis

Maruko, Ichiro; Morizane, Yuki; Kimura, Shuhei; Shiode, Yusuke; Hosokawa, Mio; Sekiryu, Tetsuju; Iida, Tomohiro; Shiraga, Fumio

doi:10.1097/iae.0000000000000938

Cited by 7 publications

(9 citation statements)

References 30 publications

(35 reference statements)

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“…Overall, these findings are likely inconclusive due to the low number of patients studied. 3,22 Also, FA of SNIFR reveals no active leakage or other abnormalities, consistent with the initial presentation of the patient in this case report. 3 The clinical presentation on both fundoscopy and OCT imaging combined with the lack of any other attributable etiology suggests that the patient's unilateral foveoschisis is likely idiopathic in nature.…”

Section: Idiopathic Foveoschisis and Rarer Causessupporting

confidence: 86%

Foveal Retinoschisis: Case Report and Clinical Review

McBride¹,

Williamson²

2020

CRO (Clinical &Amp; Refractive Optometry) Journal

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Clinicians often discover a retinoschisis during a peripheral retinal exam. However, the finding can occur within the posterior pole and surprise the examining provider. There are numerous etiologies of maculopathy associated with retinoschisis – also called foveoschisis. These include juvenile X-linked retinoschisis, myopic foveoschisis, optic disc pit maculopathy, autosomal recessive foveoschisis, medication induced foveoschisis, or even idiopathic classifications. The following case report will describe a patient with unilateral foveoschisis. Though visually symptomatic, the condition remained stable since 2013 and as such deferred any surgical intervention. It is important to recognize and understand the pathology, natural history, and prognosis of foveoschisis in order to monitor vision and potential complications. Regardless of the foveoschisis nature, the best diagnostic tool to monitor the condition is optical coherence tomography (OCT). Differentiating the cause will guide the examiner regarding an appropriate follow up schedule, monitoring for potential sequelae, and accurate education. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/foveal-retinoschisis-case-report-and-clinical-review) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.

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Section: Idiopathic Foveoschisis and Rarer Causessupporting

confidence: 86%

Foveal Retinoschisis: Case Report and Clinical Review

McBride¹,

Williamson²

2020

CRO (Clinical &Amp; Refractive Optometry) Journal

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“…Therefore, this case may be called occult optic disc coloboma-associated maculopathy. Cases with retinal schisis extending from the disc to the macula despite having funduscopically normal optic disc have been recently reported [ 27 ]. These cases had a predisposition to occur in emmetropic eyes of older patients and in the presence of preoperative PVD.…”

Section: Discussionmentioning

confidence: 99%

Role of the Epipapillary Membrane in Maculopathy Associated with Cavitary Optic Disc Anomalies: Morphology, Surgical Outcomes, and Histopathology

Tanaka

Saito

Kase

et al. 2018

Journal of Ophthalmology

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Purpose To evaluate the surgical outcomes of pars plana vitrectomy (PPV) with epipapillary membrane removal in patients with maculopathy associated with cavitary optic disc anomalies. Methods Eight patients (8 eyes) with cavitary optic disc anomaly-associated maculopathy who underwent PPV with epipapillary membrane removal were retrospectively reviewed. The best-corrected visual acuity (BCVA) and macular and papillary morphologies using enhanced depth imaging optical coherence tomography (EDI-OCT) were evaluated before and after treatment. Immunohistochemistry for an intraoperatively excised epipapillary membrane tissue was also performed. Results Before surgery, EDI-OCT revealed that epipapillary membrane was observed in all patients. Retinoschisis was resolved with no recurrence in all patients following vitrectomy regardless of a disease type or the presence or absence of preoperative posterior vitreous detachment. The mean final BCVA and central retinal thickness significantly improved compared with pretreatment values (P = 0.008 and 0.004, resp.). Immunoreactivity for S100 protein and glial fibrillary acidic protein, markers of astrocytes, was positive in the resected membrane tissues. Conclusions These results suggest that epipapillary membrane is involved in the pathogenesis of some patients with cavitary optic disc anomaly-associated maculopathy as well as posterior hyaloid membrane. PPV with epipapillary membrane removal may be a useful treatment option for this maculopathy. This trial is registered with UMIN000011123.

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“…However, the role of vitreous traction in the pathogenesis of macular retinoschisis remains controversial [ 16 ]. Some studies have reported that vitrectomy is effective for macular retinoschisis in which no obvious pit was detected [ 17 ] or for idiopathic macular retinoschisis [ 18 ]. Thus, the mechanism by which vitrectomy resolves macular lesions is not yet fully understood.…”

Section: Discussionmentioning

confidence: 99%

Vitrectomy for macular retinoschisis associated with peripapillary intrachoroidal cavitations in a moderately myopic eye

Aoki

Imaizumi

2022

Int J Retin Vitr

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Background Peripapillary intrachoroidal cavitation (PICC), a cavernous change in the peripapillary choroid, may present with macular lesions. Here, we present a rare case of PICC with outer lamellar macular hole and macular retinoschisis. Case presentation A 69-year-old man presented with metamorphopsia in the left eye. Fundus examination revealed macular retinoschisis and PICCs. Pars plana vitrectomy with fovea sparing internal limiting membrane peeling (FSIP) was performed. Three weeks postoperatively, the patient developed rhegmatogenous retinal detachment and underwent a second vitrectomy. The macular retinoschisis resolved without macular hole formation and the patient’s visual acuity improved. There were no recurrent macular lesions over the three years of postoperative follow-up. Postoperative spectral-domain optical coherence tomography scan revealed a communication between the PICC and the vitreous cavity. Conclusions This case shed light on understanding development of PICC in non-highly myopic eyes and a rare complication of macular retinoschisis. Vitrectomy with FSIP may effectively resolve macular retinoschisis.

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Clinical Characteristics of Idiopathic Foveomacular Retinoschisis

Cited by 7 publications

References 30 publications

Foveal Retinoschisis: Case Report and Clinical Review

Foveal Retinoschisis: Case Report and Clinical Review

Role of the Epipapillary Membrane in Maculopathy Associated with Cavitary Optic Disc Anomalies: Morphology, Surgical Outcomes, and Histopathology

Vitrectomy for macular retinoschisis associated with peripapillary intrachoroidal cavitations in a moderately myopic eye

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