Javaheri Michael, Sadda SriniVas R
Retina Specialists of Beverly Hills, Beverly Hills, California.
Department of Ophthalmology, Doheny Eye Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Retin Cases Brief Rep. 2018;12 Suppl 1:S92-S97. doi: 10.1097/ICB.0000000000000672.
To describe an atypical presentation of a patient with stellate nonhereditary idiopathic foveomacular retinoschisis with peripapillary retinoschisis of multiple layers.
Complete ophthalmic examination including dilated extended ophthalmoscopy, fluorescein angiography, optical coherence tomography, optical coherence tomography angiography, and wide-field fundus photography.
A 36-year-old Chinese American woman with mild myopia and good visual acuity (20/20) exhibited macular splitting of the outer plexiform layer on spectral domain optical coherence tomography with an attached hyaloid in her left eye. Peripheral spectral domain optical coherence tomography also demonstrated peripapillary and midperipheral inner retinoschisis, involving the outer plexiform layer and inner retina. The right eye was unremarkable. The diagnosis of stellate nonhereditary idiopathic foveomacular retinoschisis was made because of a lack of other associated ocular conditions and no family history of retinoschisis.
Stellate nonhereditary idiopathic foveomacular retinoschisis is a recently described and uncommon cause of foveomacular retinoschisis in myopic women with good visual acuity. Recent evidence suggests that peripheral imaging is key in identifying other findings, including midperipheral or peripapillary inner retinoschisis, involving the outer plexiform layer and the inner retina. Our patient may represent a variant of stellate nonhereditary idiopathic foveomacular retinoschisis that can be characterized by multilayer peripapillary retinoschisis.
描述一名患有星状非遗传性特发性黄斑中心凹视网膜劈裂并伴有多层视乳头周围视网膜劈裂患者的非典型表现。
进行全面的眼科检查，包括散瞳后眼底镜检查、荧光素血管造影、光学相干断层扫描、光学相干断层扫描血管造影和广角眼底照相。
一名36岁的华裔美国女性，患有轻度近视，视力良好（20/20），其左眼在光谱域光学相干断层扫描中显示外丛状层黄斑劈裂，伴有附着的玻璃体。周边光谱域光学相干断层扫描还显示视乳头周围和中周部内层视网膜劈裂，累及外丛状层和内层视网膜。右眼未见异常。由于缺乏其他相关眼部疾病且无视网膜劈裂家族史，诊断为星状非遗传性特发性黄斑中心凹视网膜劈裂。
星状非遗传性特发性黄斑中心凹视网膜劈裂是一种最近描述的、在视力良好的近视女性中导致黄斑中心凹视网膜劈裂的罕见原因。最近的证据表明，周边成像对于识别其他发现至关重要，包括中周部或视乳头周围内层视网膜劈裂，累及外丛状层和内层视网膜。我们的患者可能代表星状非遗传性特发性黄斑中心凹视网膜劈裂的一种变体，其特征为多层视乳头周围视网膜劈裂。
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