April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Peripapillary Retinoschisis : A Novel Clinical Entity Revealed By SD OCT
Author Affiliations & Notes
  • Jerome Sherman
    Clinical Sciences, SUNY College of Optometry, New York, New York
    SUNY Eye Institute, New York City, New York
  • Samantha Slotnick
    Clinical Sciences, SUNY College of Optometry, New York, New York
    SUNY Eye Institute, New York City, New York
  • Richard Madonna
    Clinical Sciences, SUNY College of Optometry, New York, New York
    SUNY Eye Institute, New York City, New York
  • Sanjeev Nath
    Eye Institute and Laser Center, New York, New York
  • Raniah Hallal
    Clinical Sciences, SUNY College of Optometry, New York, New York
    SUNY Eye Institute, New York City, New York
  • Dan Epshtein
    Clinical Sciences, SUNY College of Optometry, New York, New York
    SUNY Eye Institute, New York City, New York
  • Footnotes
    Commercial Relationships  Jerome Sherman, Lecturer for Zeiss, Topcon, Optovue (C); Samantha Slotnick, None; Richard Madonna, None; Sanjeev Nath, None; Raniah Hallal, None; Dan Epshtein, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 3606. doi:
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      Jerome Sherman, Samantha Slotnick, Richard Madonna, Sanjeev Nath, Raniah Hallal, Dan Epshtein; Peripapillary Retinoschisis : A Novel Clinical Entity Revealed By SD OCT. Invest. Ophthalmol. Vis. Sci. 2011;52(14):3606.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

To document the presence of peripapillary retinoschisis (PPRS), a new clinical entity seen more frequently in highly myopic eyes with the help of SD OCT.

 
Methods:
 

A retrospective review of 600 eyes was performed with OCTs that contained several sections through and around the optic nerve head. SD OCTs were obtained with 1 of 4 systems (Zeiss Cirrus, Topcon 3D OCT, Heidelberg Spectralis, Optovue RTVue).

 
Results:
 

Of the 600 eyes, 19 exhibited retinoschisis around the optic disc.17 eyes were myopic with refractive errors ranging from -5 to -18. The 18D myopic eye had a 360° PPRS which did not extend into the macula but appeared to be responsible for the VA reduction to 10/400. The other 16 eyes had normal or near normal VA and none had a macula retinoschisis. 8 of these 17 eyes had one or more zones of vitreo-retinal traction (as revealed with SD OCT) and may be the etiology of the schisis (see image). The splits were variable in location and often appeared to exist in several layers, most often found in the inner and outer plexiform layers. One of the 2 eyes without myopia was a 4D hyperope (VA 20/40) with a PPRS that extended into the macula. The other was an emmetropic eye with a Morning Glory-like congenital disc anomaly but with 20/20 VA. The 2 eyes without myopia did not exhibit vitreo- retinal traction. Most eyes tested demonstrated field defects, most frequently enlargement of the blind spot. All 4 SD OCT systems utilized were able to delineate the PPRS.

 
Conclusions:
 

PPRS appears to be a clinical entity more prevalent in high myopia. PPRS is generally invisible on ophthalmosopy but can be detected with SD OCT images around the optic disc. Scans through the macula will miss the PPRS unless the peri-papillary area is included in the scan.  

 
Keywords: retina 
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