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Combined Retinoschisis and Rhegmatogenous Retinal Detachment With a Very Large Outer Retinal Hole

To identify the key insights or developments described in this article
1 Credit CME

A patient in their 40s presented with acute onset of flashes and floaters in the right eye. Their best-corrected visual acuity was 20/20 OU. Funduscopic examination of the right eye revealed an inferotemporal area of dome-shaped retinal elevation, consistent with a combined retinoschisis and rhegmatogenous retinal detachment, sparing the fovea (Figure). A small, round, inner retinal break and a very large outer retinal break, inferotemporal to the macula edge, was seen, prompting urgent surgical intervention. Optical coherence tomography imaging confirmed moderate subretinal fluid sparing the fovea and intraretinal cysts consistent with retinoschisis (Figure, inset), prompting urgent surgical intervention with pars plana vitrectomy, laser, and oil tamponade. The patient's retina remained attached, and the oil was subsequently removed with excellent postoperative vision.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Eric K. Chin, MD, Retina Consultants of Southern California, 1895 Orange Tree Ln, Ste 204, Redlands, CA 92374 (chin.eric@gmail.com).

Conflict of Interest Disclosures: Drs Almeida and Chin reported being cofounders of Citrus Therapeutics. Dr Almeida reported receiving honoraria from Allergan, Alcon, Genentech, and Novartis. Dr Chin reported receiving research funding from Opthea, Kodiak Sciences, IVERIC, Novartis, Bayer, Hexal AG/Sandoz Inc, Genentech, and Chendgu Kanghong Biotechnology. In addition, Drs Almeida and Chin reported having a patent pending for CTZ1 with Citrus Therapeutics. No other disclosures were reported.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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