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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 7  |  Page : 1189

Nasal retinoschisis in a case of high myopia


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication25-Jun-2019

Correspondence Address:
Dr. Shreyans Jain
C-122, Street No. 6, Shastri Park, Shahdara, New Delhi - 110 053
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1837_18

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How to cite this article:
Kumar V, Jain S. Nasal retinoschisis in a case of high myopia. Indian J Ophthalmol 2019;67:1189

How to cite this URL:
Kumar V, Jain S. Nasal retinoschisis in a case of high myopia. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jul 20];67:1189. Available from: http://www.ijo.in/text.asp?2019/67/7/1189/261025



A 32-years-old male presented with poor vision in oculus sinister (OS) for the last 6 months. Best-corrected visual acuity was 20/20 with –8 diopters sphere OD and 20/200 with –10 diopters sphere OS. Fundus examination [Figure 1]a and [Figure 1]c showed tessellated fundus with visible large choroidal vessels oculus utro (OU) and choroidal neovascular membrane (CNVM) scar OS. Swept-source optical coherence tomography (SS-OCT) showed type 2 CNVM without any subretinal or intraretinal fluid. Additionally, it revealed the presence of tractional retinoschisis nasal to optic disc OU similar to myopic traction maculopathy (MTM) [Figure 1]b and [Figure 1]d.[1],[2] While OS had posterior staphyloma nasal to the disc, no staphyloma was noted OD. In view of no features of active CNVM, no treatment was prescribed and the patient was advised a regular follow-up. This case highlights the occurrence of a common finding at a rare location and utility of SS-OCT in better phenotypic characterization of MTM. The presence of extramacular schisis may further add to the visual disability of these patients as central vision is frequently affected by MTM.
Figure 1: Color fundus photographs of the right (a) and the left (c) eye of the patient showing tessellated appearance with the left eye showing a submacular CNVM. Blue arrows indicate the site of SS-OCT scans. SS OCT scans of the right eye (b) and the left eye (d) show retinoschisis involving the nasal part of the retina in both eyes with the left eye showing CNVM scar (blue arrow). Red arrowhead indicates the schisis at the inner nuclear level. Red star shows the schisis at the level of the nerve fiber layer. Red arrow shows stretched ILM. CNVM: choroidal neovascular membrane, ILM: SS-OCT: swept-source optical coherence tomography

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ohno Matsui K, Kawasaki R, Jonas JB, Cheung CM, Saw SM, Verhoeven VJ, et al. International photographic classification and grading system for myopic maculopathy. Am J Ophthalmol 2015;159:877-83.e7.  Back to cited text no. 1
    
2.
Panozzo G, Mercanti A. Optical coherence tomography findings in myopic traction maculopathy. Arch Ophthalmol 2004;122:1455-60.  Back to cited text no. 2
    


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