Acquired senile retinoschisis of the peripheral retina imaged by spectral domain optical coherence tomography: a case report.

PURPOSE: We report spectral domain optical coherence tomography findings of the peripheral retina in a patient with senile (acquired) retinoschisis.
METHODS: This is an observational case report. Spectral domain optical coherence tomography was performed to image the peripheral retina at the area of retinoschisis in a 70-year-old man with bilateral inferonasal elevated peripheral retinal lesions. Since the lesions were not entirely transparent and smooth, and demonstrated a certain degree of mobility, the diagnosis of retinal detachment could not be excluded.
RESULTS: Spectral domain optical coherence tomography scans obtained at the margin of the lesions demonstrated attached retina with a characteristic splitting of the neurosensory retina at the outer plexiform layer and cystic changes in the inner retina.
CONCLUSIONS: Spectral domain optical coherence tomography can assist in the diagnosis of senile (acquired) retinoschisis, particularly in cases where retinal detachment cannot be excluded on clinical examination alone.