SPONTANEOUS RESOLUTION OF RETINOSCHISIS IN THE SETTING OF NARROW-ANGLE GLAUCOMA: A CASE REPORT

To present a rare case of retinoschisis in the setting of narrow-angle glaucoma that demonstrated spontaneous resolution with conservative management.

Case report presentation from the Vitreous Retina Macula Specialists of Toronto in December 2020.

A 65-year-old woman with previous bilateral laser peripheral iridotomies for narrow-angle glaucoma was referred to a tertiary retina clinic for the assessment of query macular edema in the left eye. The patient presented with a blunted foveal reflex in the left eye, and optical coherence tomography imaging demonstrated diffuse retinoschisis of outer retinal layers in the peripapillary region and nasal macula. The patient elected for conservative management, and by 10-month follow-up, her retinoschisis resolved spontaneously.

Only seven cases of retinoschisis in the setting of narrow-angle glaucoma have been identified in the literature. This is the first case in this setting to demonstrate spontaneous resolution with conservative management. Although laser peripheral iridotomies have been shown to resolve retinoschisis in narrow-angle glaucoma patients, clinicians should be aware of a conservative management approach to yield a positive improvement in retinal integrity.