Differentiation of degenerative retinoschisis from retinal detachment using optical coherence tomography.

Michael Ip // Publications // Mar 01 1999

PubMed ID: 10080221

Author(s): Ip M, Garza-Karren C, Duker JS, Reichel E, Swartz JC, Amirikia A, Puliafito CA. Differentiation of degenerative retinoschisis from retinal detachment using optical coherence tomography. Ophthalmology. 1999 Mar;106(3):600-5. PMID 10080221

Journal: Ophthalmology, Volume 106, Issue 3, Mar 1999

OBJECTIVE To assess the potential of optical coherence tomography (OCT) to differentiate retinoschisis from retinal detachment. Optical coherence tomography is a noninvasive, noncontact imaging method that produces high-resolution, cross-sectional images of ocular tissue.

DESIGN Retrospective case series.

PARTICIPANTS Thirteen eyes of 12 patients with the differential diagnosis of retinoschisis versus retinal detachment.

METHODS Differentiation between retinoschisis and retinal detachment was established from both ophthalmoscopic and OCT examinations.

MAIN OUTCOME MEASURE Ability of OCT to differentiate retinoschisis from retinal detachment was measured.

RESULTS Thirteen eyes of 12 patients with retinal elevation were examined with OCT. The cross-sectional view produced by OCT was effective in distinguishing retinoschisis from retinal detachment. Optical coherence tomography images of retinoschisis show a splitting of the neurosensory retina. The OCT images of retinal detachment show separation of full-thickness neurosensory retina from the retinal pigment epithelium band. The OCT images correlated with the clinical impression in all 13 cases.

CONCLUSIONS Based on this series of cases, OCT is a potentially useful new test that may be used to distinguish retinoschisis from rhegmatogenous retinal detachment.