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Three-dimensional spectral domain optical coherence tomography in X linked foveal retinoschisis.

Author
Abstract
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Spectral domain optical coherence tomography (SD-OCT) was performed in two cases of bilateral X linked foveal retinoschisis of different age groups. On fundus examination spoke wheel and honeycomb pattern of cysts were observed along with retinal nerve fibre layer (RNFL) defects. On SD-OCT, schisis was observed in the outer plexiform layer. External limiting membrane disruption was observed in the subfoveal area, along with disruption of outer nuclear layer (ONL) and inner-outer segment junction. Elevation of ONL due to tractional pull of central palisade was a novel observation. Retinoschisis extended beyond the optic disc up to the nasal region. Extracted RNFL tomogram presented an unprecedented visualisation of schisis along 360° of the optic disc. Tractional elevation in the foveal area and schisis involving nasal region, not observed upon clinical examination, was highlighted on SD-OCT. This investigative modality is an important adjunct in the assessment of foveal retinoschisis.

Year of Publication
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2013
Journal
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BMJ case reports
Volume
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2013
Date Published
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2013
URL
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http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=23563673
DOI
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10.1136/bcr-2012-007661
Short Title
:
BMJ Case Rep
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