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  • Title: Acquired retinoschisis with giant outer layer break and retinal detachment.
    Author: Giansanti F, Bitossi A, Giacomelli G, Abbruzzese G, Giuntoli M, Menchini U.
    Journal: Eur J Ophthalmol; 2013; 23(5):761-3. PubMed ID: 23709331.
    Abstract:
    PURPOSE: 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.
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