This 50YO female was referred for possible bilateral retinal detachments. Vision was 20/30 OD and 20/40 OS.
Optos color RGB imaging shows bullous, symmetrical inferotemporal retinoschisis. The innumerable inner-layer holes are best seen in the green channel.
Learning Points:
Degenerative retinoschisis is virtually never prophylactically treated (see Byer 1986;93:1127-1137). Patients can rarely develop a combined schisis rhegmatogenous retinal detachment (RRD) when liquid vitreous accesses the subretinal space through both inner and outer retinal holes.
Our patient is at low risk for developing a combined schisis RRD due to the lack of outer-layer breaks. We will follow her yearly.
