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By Norman Byer
From Dr. Norman E. Byer’s “The Peripheral Retina in Profile” - Uploaded on Nov 9, 2012.
- Last modified by Suber S. Huang, MD, MBA, FASRS on Feb 11, 2013.
- Reviewed by Chayal Patel
- Rating
- Appears in
- Miscellaneous
- Condition/keywords
- retinal detachment, retinoschisis, outer layer hole, inner layer holes
- Description
- This 43-year-old woman had the small area of retinalschisis and associated small localized retinal detachment resulting from breaks in both retinal layers when she was first examined. This eye was asymptomatic and has remained exactly the same during two years of observation without treatment. In this picture, the outer layer break is demarcated by the yellow line. The inner layer is seen intact over this hole but has itself two small holes in the upper part of the photograph. Thus, it is evident that even retinoschisis with double layer holes does not necessarily progress to a clinical retinal detachment. The viscous nature of the fluid in the retinoschisis cavity is probably a contributing factor in this non progressive tendency.