title: Acquired retinoschisis with giant outer layer break and retinal detachment.
abstract: OBJECTIVE
  To evaluate the natural history of a case of retinoschisis with giant outer layer break and retinal detachment.
  
  
  METHODS
  A 42-year-old patient with a sudden paracentral scotoma in the visual field of the right eye underwent the following examinations: best-corrected visual acuity, slit-lamp biomicroscopy, optical coherence tomography, ocular echography, and fundus photography.
  
  
  RESULTS
  The eye examination revealed inferotemporal retinoschisis-detachment with a giant outer retinal layer break and absence of foveal involvement. No breaks in the internal retinal layer were noted. No treatment was advised in the right eye. During the 3-year follow-up, a progressive reabsorption of subretinal fluid was detected and visual acuity remained unchanged.
  
  
  CONCLUSIONS
  Deliberate nontreatment of a case of nonprogressive retinoschisis-detachment carries less risk of serious complications or loss of vision than does either surgical or prophylactic treatment.
authors.affiliation: Department of Specialistic Surgical Sciences, Eye Clinic, University of Florence, Viale Morgagni 85, Florence, Italy. fabrizio.giansanti@unifi.it
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Giansanti
authors.forename: Alice
authors.initials: A
authors.lastname: Bitossi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Giacomelli
authors.forename: Giacomo
authors.initials: G
authors.lastname: Abbruzzese
authors.forename: Matteo
authors.initials: M
authors.lastname: Giuntoli
authors.forename: Ugo
authors.initials: U
authors.lastname: Menchini
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000175:diagnosis* / Q000628:therapy; D012167:Retinal Perforations / Q000175:diagnosis* / Q000628:therapy; D041441:Retinoschisis / Q000150:complications*; D016896:Treatment Outcome; D014792:Visual Acuity