Abstract
Background
To describe a case of macular retinoschisis in a patient with normal tension glaucoma without evidence of optic nerve pits or peripapillary retinoschisis.
Methods
Case report.
Results
This patient, diagnosed with normal tension glaucoma, was noted to have macular retinoschisis in the right eye, with matching changes on visual field and optical coherence tomographic (OCT) results. Follow-up examination revealed that the schisis kept on appearing in the right eye.
Conclusions
Macular retinoschisis may appear in patients with normal tension glaucoma. It is possible that microholes in the thinning and structural defects areas in the nerve fiber layer around the optic cup allowed liquid vitreous to enter the retina via the nerve fiber layer. The fluid caused retinal edema, a schisis and even a serous retinal detachment. Further studies are needed to better understand this disease process.
References
Lincoff H, Lopez R, Kreissig I, Yannuzzi L, Cox M, Burton T (1988) Retinoschisis associated with optic nerve pits. Arch Ophthalmol 106:61–67
Rutledge BK, Puliafito CA, Duker JS, Hee MR, Cox MS (1996) Optical coherence tomography of macular lesions associated with optic nerve head pits. Ophthalmology 103:1047–1053
Kahook MY, Noecker RJ, Ishikawa H, Wollstein G, Kagemann L, Wojtkowski M, Duker JS, Srinivasan VJ, Fujimoto JG, Schuman JS (2007) Peripapillary schisis in glaucoma patients with narrow angles and increased intraocular pressure. Am J Ophthalmol 143:697–699
Hollander DA, Barricks ME, Duncan JL, Irvine AR (2005) Macular schisis detachment associated with angle-closure glaucoma. Arch Ophthalmol 123:270–272
Zumbro DS, Jampol LM, Folk JC, Olivier MM, Anderson-Nelson S (2007) Macular schisis and detachment associated with presumed acquired enlarged optic nerve head cups. Am J Ophthalmol 144:70–74
Krivoy D, Gentile R, Liebmann JM, Stegman Z, Rosen R, Walsh JB, Ritch R (1996) Imaging congenital optic disc pits and associated maculopathy using optical coherence tomography. Arch Ophthalmol 14:165–170
Author information
Authors and Affiliations
Corresponding author
Additional information
No financial sponsors sponsored the research.
The authors have full control of all primary data, and agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review our data upon request.
Rights and permissions
About this article
Cite this article
Zhao, M., Li, X. Macular retinoschisis associated with normal tension glaucoma. Graefes Arch Clin Exp Ophthalmol 249, 1255–1258 (2011). https://doi.org/10.1007/s00417-011-1668-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-011-1668-y