Atypical myopic retinoschisis

Abstract

A 34-year-old woman with a refraction of-11 diopters in both eyes presented with a central scotoma and metamorphopsia in her right eye related to a juxtafoveal hemorrhage. Fluorescein angiography ruled out choroidal neovascularization and lacquer cracks. Optical coherence tomography revealed retinal splitting in the juxtafoveal area and the peripapillary area. No ophthalmoscopic peripheral abnormalities were observed. This is an atypical example of schisis associated with myopia because it was symptomatic, associated with hemorrhage, and did not affect the fovea. This may be an extension to the macula of a subclinical peripheral retinoschisis that became progressive and symptomatic due to vitreous tractional forces.