Premium
Monitoring retinoschisis and non‐acute retinal detachment by optical coherence tomography: morphologic aspects and clinical impact
Author(s) -
Eibenberger Katharina,
Sacu Stefan,
RezarDreindl Sandra,
Pöcksteiner Julia,
Georgopoulos Michael,
SchmidtErfurth Ursula
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.13424
Subject(s) - optical coherence tomography , ophthalmology , medicine , retinoschisis , retinal , outer nuclear layer , discontinuation , retinal detachment , surgery
Abstract Purpose To differentiate retinoschisis ( RS ) from non‐acute retinal detachment (na RD ) in clinical routine using optical coherence tomography ( OCT ), describe unique morphological OCT characteristics and monitor disease progression. Methods This prospective, observational study included 64 eyes of 44 patients with either RS or na RD . Patients were examined clinically and using Heidelberg Spectralis OCT ® , Topcon DRI OCT ® and Cirrus HRA ‐ OCT ® over 2 years with follow‐up at 1, 3, 6, 12 and 24 months. Main outcomes were typical morphologic findings of RS and na RD described in OCT . Progression was monitored using Spectralis OCT ® follow‐up mapping and an eye‐tracking method. Results Forty‐seven eyes were diagnosed with RS and 17 with na RD . Optical coherence tomography (OCT) provided a definite diagnosis in four eyes diagnosed clinically as uncertain. Seventy‐seven percentage of eyes with RS were atrophic in the inner leaf (IL), whereas 41% with na RD showed cystoid alteration. A discontinuation of the IL clinically observed as an inner‐layer break ( ILB ) could be imaged. We described a tissue retraction within the outer leaf ( OL ), which corresponded to outer‐layer breaks ( OLB s) in clinical examinations in nine eyes (19%). Conclusion Optical coherence tomography (OCT) is a reliable method to differentiate and monitor RS from na RD . Morphological characteristics, including ILB and OLB , could be accurately illustrated in RS .