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Ophthalmology. 1999 Mar;106(3):600-5.

Differentiation of degenerative retinoschisis from retinal detachment using optical coherence tomography.

Author information

1
Retina Service, New England Eye Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA.

Abstract

OBJECTIVE:

To assess the potential of optical coherence tomography (OCT) to differentiate retinoschisis from retinal detachment. Optical coherence tomography is a noninvasive, noncontact imaging method that produces high-resolution, cross-sectional images of ocular tissue.

DESIGN:

Retrospective case series.

PARTICIPANTS:

Thirteen eyes of 12 patients with the differential diagnosis of retinoschisis versus retinal detachment.

METHODS:

Differentiation between retinoschisis and retinal detachment was established from both ophthalmoscopic and OCT examinations.

MAIN OUTCOME MEASURE:

Ability of OCT to differentiate retinoschisis from retinal detachment was measured.

RESULTS:

Thirteen eyes of 12 patients with retinal elevation were examined with OCT. The cross-sectional view produced by OCT was effective in distinguishing retinoschisis from retinal detachment. Optical coherence tomography images of retinoschisis show a splitting of the neurosensory retina. The OCT images of retinal detachment show separation of full-thickness neurosensory retina from the retinal pigment epithelium band. The OCT images correlated with the clinical impression in all 13 cases.

CONCLUSIONS:

Based on this series of cases, OCT is a potentially useful new test that may be used to distinguish retinoschisis from rhegmatogenous retinal detachment.

PMID:
10080221
DOI:
10.1016/S0161-6420(99)90123-9
[Indexed for MEDLINE]

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