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[Papillomacular retinoschisis associated with glaucoma]
A N Andreev1, A V Shvaikin1, S N Svetozarskiy1
1Volga District Medical Centre, Federal Medical and Biological Agency, 2 Nizhnevolgskaya Naberejnaya, Nizhny Novgorod, Russian Federation, 603001.
Vestnik Oftalmologii
|February 5, 2020
Summary
Peripapillary and macular retinoschisis, a rare glaucoma complication, can resolve with intraocular pressure normalization. Successful treatment led to full retinal recovery and improved vision in a case study.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Glaucoma Research
Background:
- Peripapillary and macular retinoschisis is a rare manifestation of advanced glaucoma.
- This condition can lead to significant visual deterioration.
Observation:
- A case of advanced decompensated open-angle glaucoma with pseudoexfoliation syndrome presented with retinoschisis and vision loss.
- The patient underwent surgical glaucoma treatment, achieving intraocular pressure normalization.
Findings:
- Following surgery, gradual regression of retinoschisis and improvement in visual functions were observed.
- Complete retinal structure restoration occurred 1.5 years post-operation, with no recurrence over a 3-year follow-up.
- Key risk factors include high intraocular pressure, visual field defects, and diurnal pressure fluctuations.
Implications:
- Effective management involves normalizing intraocular pressure through medical, laser, or surgical interventions.
- Vitreoretinal surgery or laser coagulation may be necessary for persistent retinoschisis.
- Early intervention and monitoring are crucial for retinal recovery and visual function preservation.
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