This 22YO patient, courtesy of Dr. Brooke Spivey, presented with degenerative retinoschisis with numerous inner-layer holes.
One year later, the schisis cavity had enlarged, with a new posterior outer layer hole. There were no visual symptoms.
Learning Points:
This patient is at a low risk of developing a combined rhegmatogenous schisis detachment due to the presence of both inner and outer layer breaks.
The outer layer remains attached, and no prophylactic treatment was recommended since thermal laser does not prevent schisis from enlarging, schisis very rarely progresses into the fovea (Byer Ophthalmology 1986;93:1127-1137), and even then is compatible with central vision as long as the outer layer remains attached (Watzke et al 2013;33:606-612), and asymptomatic holes are generally not treated.
