Journal of Pediatric Ophthalmology and Strabismus

Images in Pediatric Ophthalmology 

Widespread Traumatic Retinoschisis Sparing the Macula

Mark P. Breazzano, MD; Royce W. S. Chen, MD

Abstract

A 22-year-old man with a remote, blunt left eye injury presented with blurriness after this same eye was punched. The right eye was asymptomatic and normal. Visual acuity in the left eye was 20/20, and peripheral vitreoretinal interface elevations were observed with wide-field fundus imaging (Figure 1A). Optical coherence tomography confirmed a flat macula (Figure 1B) and showed vitreoretinal adhesion corresponding with retinoschisis in each abnormal, peripheral area (Figure 1C) without detachment. Although retinoschisis isolated to the macula from trauma is well known,1–3 extensive peripheral retinoschisis without macular involvement in the setting of trauma is unusual and is important to distinguish from retinal detachment.…

A 22-year-old man with a remote, blunt left eye injury presented with blurriness after this same eye was punched. The right eye was asymptomatic and normal. Visual acuity in the left eye was 20/20, and peripheral vitreoretinal interface elevations were observed with wide-field fundus imaging (Figure 1A). Optical coherence tomography confirmed a flat macula (Figure 1B) and showed vitreoretinal adhesion corresponding with retinoschisis in each abnormal, peripheral area (Figure 1C) without detachment. Although retinoschisis isolated to the macula from trauma is well known,1–3 extensive peripheral retinoschisis without macular involvement in the setting of trauma is unusual and is important to distinguish from retinal detachment.

References

  1. Shouldice M, Al-Khattabi F, Thau A, et al. Traumatic macular retinoschisis in infants and children. JAAPOS. 2018;22(6):433–437. doi:10.1016/j.jaapos.2018.08.007 [CrossRef]
  2. Breazzano MP, Unkrich KH, Barker-Griffith AE. Clinicopathological findings in abusive head trauma: analysis of 110 infant autopsy eyes. Am J Ophthalmol. 2014;158(6):1146–1154.e2. doi:10.1016/j.ajo.2014.08.011 [CrossRef]
  3. Verdaguer J. Juvenile retinal detachment. Pan American Association of Ophthalmology and American Journal of Ophthalmology Lecture. Am J Ophthalmol. 1982;93(2):145–156.
Authors

From Columbia University Irving Medical Center, Edward S. Harkness Eye Institute, New York-Presbyterian Hospital, New York, New York (MPB, RWSC), the Department of Ophthalmology, New York University of Medicine, New York, New York (MPB), and Wilmer Eye Institute, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, Maryland (MPB).

The authors have no financial or proprietary interest in the materials presented herein.

Correspondence: Royce W. S. Chen, MD, Columbia University Irving Medical Center, Edward S. Harkness Eye Institute, New York Presbyterian Hospital, 635 W. 165th Street, New York, NY 10032. Email: rc2631@cumc.columbia.edu

10.3928/01913913-20200910-05

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