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01-09-2014 | Clinical Investigation

Bilateral papillomacular retinoschisis and macular detachment accompanied by focal lamina cribrosa defect in glaucomatous eyes

Authors: Tatsuya Yoshitake, Hideo Nakanishi, Yoshinao Setoguchi, Kenichi Kuroda, Kaori Amemiya, Misa Taniguchi, Atsushi Otani

Published in: Japanese Journal of Ophthalmology | Issue 5/2014

Abstract

Purpose

We report here a patient with bilateral papillomacular retinoschisis with an enlarged glaucomatous optic nerve head cup and a focal lamina cribrosa defect, the findings of our clinical investigations of this case, and the chosen treatment and outcome.

Design

This is an observational case report.

Methods

Clinical examinations were performed using simultaneous confocal scanning laser ophthalmoscopy and optical coherence tomography (OCT). The patient was treated by pars plana vitrectomy (PPV).

Results

The left eye had a macular detachment with a presumed acquired pit of the optic nerve, while the right eye did not have an obvious optic nerve pit. Enhanced depth imaging OCT showed focal lamina cribrosa defects in both eyes. PPV was performed on the left eye, which resulted in a re-attachment of the macula and improvement of the visual acuity.

Conclusions

Our findings suggest that the pathological changes were most likely due to focal lamina cribrosa defects in both glaucomatous eyes. This type of maculopathy can be successfully treated with PPV.

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Title: Bilateral papillomacular retinoschisis and macular detachment accompanied by focal lamina cribrosa defect in glaucomatous eyes
Authors: Tatsuya Yoshitake
Hideo Nakanishi
Yoshinao Setoguchi
Kenichi Kuroda
Kaori Amemiya
Misa Taniguchi
Atsushi Otani
Publication date: 01-09-2014
Publisher: Springer Japan
Published in: Japanese Journal of Ophthalmology / Issue 5/2014
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI: https://doi.org/10.1007/s10384-014-0330-8

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Bilateral papillomacular retinoschisis and macular detachment accompanied by focal lamina cribrosa defect in glaucomatous eyes

Abstract

Purpose

Design

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Design

Methods

Results

Conclusions

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