Combined retinoschisis-detachment involving the fovea managed with observation.
OBJECTIVE
To report a case of a combined retinoschisis-detachment progressing to foveal involvement managed by observation.


METHODS
This is a case report with a 19-month follow-up period. Clinical examination, fundus photography, and optical coherence tomography were used to follow the retinal findings over time.


RESULTS
A 61-year-old man presented with 20/20 vision with a retinoschisis-detachment. The detachment progressed to involve the fovea, and the vision declined to 20/40. The patient was observed for 14 months, and his vision remained 20/40. Optical coherence tomography demonstrated a stable detachment.


CONCLUSIONS
Retinal detachment may occur within retinoschisis. Despite foveal detachment, patients may maintain good vision without surgical intervention.
Retina and Macula Specialists, Tacoma, Washington.
Ali
A
Zaidi
Brandon
B
Lujan
D005584:Fovea Centralis / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000628:therapy*; D041441:Retinoschisis / Q000150:complications*; D016896:Treatment Outcome; D014792:Visual Acuity; D057832:Watchful Waiting