Three-dimensional spectral domain optical coherence tomography in X linked foveal retinoschisis.
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Abstract | :
Spectral domain optical coherence tomography (SD-OCT) was performed in two cases of bilateral X linked foveal retinoschisis of different age groups. On fundus examination spoke wheel and honeycomb pattern of cysts were observed along with retinal nerve fibre layer (RNFL) defects. On SD-OCT, schisis was observed in the outer plexiform layer. External limiting membrane disruption was observed in the subfoveal area, along with disruption of outer nuclear layer (ONL) and inner-outer segment junction. Elevation of ONL due to tractional pull of central palisade was a novel observation. Retinoschisis extended beyond the optic disc up to the nasal region. Extracted RNFL tomogram presented an unprecedented visualisation of schisis along 360° of the optic disc. Tractional elevation in the foveal area and schisis involving nasal region, not observed upon clinical examination, was highlighted on SD-OCT. This investigative modality is an important adjunct in the assessment of foveal retinoschisis. |
Year of Publication | :
2013
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Journal | :
BMJ case reports
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Volume | :
2013
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Date Published | :
2013
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URL | :
http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=23563673
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DOI | :
10.1136/bcr-2012-007661
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Short Title | :
BMJ Case Rep
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