Retinoschisis (splitting of the retina into two layers)
Clinical signs:
1. Juvenile X linked retinoschisis
A. Foveal schisis: cystoid spaces with a “bicycle-wheel†pattern of radial striae
B. Peripheral schisis
C. Vitreous hemorrhage
2. Age-related retinoschisis
A. Immobile dome shaped elevation of the retina typically infrotemporally
B. May progress circumferentially
Management
A. Retinal examination with sclera indentation to exclude retinal break
B. A fundus contact lens evaluation
C. No treatment for foveal schisis (stellate maculopathy)
D. Surgical repair of RD
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