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Retinoschisis and macular detachment associated with acquired enlarged optic disc cup

Authors Moreno M, González-López JJ, Jarrin, Bertrand

Received 11 January 2012

Accepted for publication 7 February 2012

Published 20 March 2012 Volume 2012:6 Pages 433—436


Review by Single anonymous peer review

Peer reviewer comments 4

María Moreno-López, Julio José González-López, Elena Jarrín, Josefina Bertrand
Ophthalmology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain

Abstract: We describe a case of maculopathy consisting of macular retinoschisis and serous macular detachment occurring in a patient with an acquired enlarged optic disc cup, similar to the maculopathy observed in congenital optic nerve abnormalities, mainly optic nerve pits and colobomas, without vitreomacular traction nor angiographic leak. Pars plana vitrectomy with argon laser endophotocoagulation and gas tamponade was found to be useful. Traction from membranes covering deep optic disc cups may create small retinal dehiscences, as described in congenital optic nerve abnormalities, which will enable the liquefied vitreous to pass, leading to retinoschisis with or without associated neurosensory detachment. Vitrectomy, photocoagulation, and gas tamponade may be a useful therapy for this entity.

Keywords: glaucoma, macular detachment, macular surgery, optic disc, retinoschisis

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