Laser treatment of macular retinoschisis due to acquired optic nerve pit from glaucoma
Recommended Citation
Prinzi RA, Desai A, and Gao H. Laser treatment of macular retinoschisis due to acquired optic nerve pit from glaucoma BMJ Case Rep 2015; 2015
Document Type
Article
Publication Date
7-21-2015
Publication Title
BMJ Case Rep
Abstract
Macular retinoschisis can be caused by acquired optic nerve pit from glaucoma. This study evaluated the efficacy of laser treatment for this disorder. We report on five eyes from three patients with macular retinoschisis and a history of glaucoma. Spectral domain optical coherence tomography was used for diagnosis and follow-up. Treatment was performed with barrier laser on the temporal margin of the optic nerve. Following treatment, patients' average vision improved by 1 line on the Snellen chart at average follow-up of 12.3 months. All five eyes showed significant improvement in macular retinoschisis. The tracts connecting the optic pit to the retinoschisis completely closed in three eyes and nearly closed in two eyes. These cases demonstrate that laser photocoagulation is an effective treatment of macular retinoschisis from acquired optic nerve pit. It can serve as first-line treatment before more invasive options such as vitrectomy are considered.
Medical Subject Headings
Aged; Aged, 80 and over; Female; Glaucoma; Humans; Laser Coagulation; Macular Degeneration; Male; Optic Nerve; Optic Nerve Diseases; Retinoschisis; Tomography, Optical Coherence; Treatment Outcome; Visual Acuity
PubMed ID
26199301
Volume
2015
