Acquired Senile Retinoschisis of the Peripheral Retina Imaged by Spectral Domain Optical Coherent Tomography

Senile retinoschisis (SR) is a rare eye disease characterized by the abnormal separation of the neurosensory retina layers typically at the outer plexiform layer. Retinal detachment (RD) can be associated with SR in approximately 0.05% of the cases in which urgent treatments are indicated. The utility of spectral domain optical coherent tomography (SD-OCT) is helpful in diagnosing SR and distinguishing it from RD. This is a case of a 63-year-old man who presented with right eye floaters for a duration of two months. There were no other optic symptoms such as flashes of light, decreased vision, or pain. The best-corrected visual acuity was 20/25 in both eyes. Dilated fundus examination of the right eye revealed two elevated dome-shaped, mobile, transparent, smooth, and round peripheral retinal lesions in the inferotemporal quadrant suggestive of SR. SD-OCT was utilized to diagnose SR and rule out RD. In conclusion, SD-OCT is a very valuable diagnostic tool that can be utilized for SR which is a rare condition that can have serious visual consequences if not diagnosed and managed properly.