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Peripapillary schisis with serous detachment in advanced glaucoma
Helen Farjad1, Eulogio Besada, Barry J Frauens
1*OD † OD, MS, FAAO ‡ OD, FAAO Nova Southeastern University College of Optometry, Ft. Lauerdale, Florida.
Summary
Peripapillary retinoschisis with serous detachment can occur in advanced primary open angle glaucoma. This condition, observed in a glaucoma patient, resolved spontaneously without intervention.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Retinal Imaging
Background:
- Primary open-angle glaucoma (POAG) is a progressive optic neuropathy.
- Advanced POAG can present with significant optic nerve cupping.
- Peripapillary changes in glaucoma are typically associated with optic nerve damage.
Observation:
- A case of peripapillary retinoschisis with an underlying serous detachment was observed.
- The condition occurred in a patient with advanced glaucomatous optic nerve cupping.
- This presentation was noted in the absence of optic nerve coloboma, optic nerve head pit, or subretinal neovascular membrane.
Findings:
- Optical coherence tomography (OCT) confirmed retinoschisis and serous detachment near the optic disc.
- The peripapillary serous detachment and retinoschisis resolved spontaneously.
- No intervention was required for the resolution of these findings.
Implications:
- Peripapillary retinoschisis and serous detachment may be associated with advanced glaucoma.
- The pathogenic mechanism linking glaucoma to these findings warrants consideration.
- This case highlights the potential for spontaneous resolution of such peripapillary abnormalities.
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