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Surgical management of symptomatic bullous senile retinoschisis without schisis detachment
José I Vela1, Juan C Raiteri, Merce Fossas
1From the Department of Ophthalmology, Viladecans Hospital, Barcelona, Spain.
Purpose:
To describe a rare case of bullous senile retinoschisis without schisis detachment in a patient who developed visual loss.
Methods:
An 84-year-old woman presented with inferotemporal bullous senile retinoschisis from the 2:00- to 8:00-o'clock meridians overlying the left macula. Pars plana vitrectomy, endolaser photocoagulation over the schisis area, and gas-fluid exchange with a 20% mixture of SF6 were performed.
Results:
Complete reattachment of the inner retinal layer was achieved.
Conclusion:
Senile retinoschisis without schisis detachment does not usually require surgical management. This case shows an exceptional indication for surgical intervention.
