Peripapillary retinoschisis associated with glaucomatous optic neuropathy (clinical cases)

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Abstract

Peripapillary retinoschisis is a rare condition and is detected more often in patients with glaucoma or glaucoma suspects, while data on the pathophysiological mechanisms of development and the effect on the course of glaucoma are limited. The article presents two clinical cases of unilateral peripapillary retinoschisis detected accidentally during a routine examination of patients with glaucoma.

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About the authors

Taisiia A. Doktorova

S.N. Fyodorov Eye Microsurgery Federal State Institution, St. Petersburg Branch; North-West State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: taisiiadok@mail.ru
ORCID iD: 0000-0003-2162-4018
SPIN-code: 8921-9738

МD, Postgraduate Student

Russian Federation, Saint Petersburg; Saint Petersburg

Aleksei A. Suetov

S.N. Fyodorov Eye Microsurgery Federal State Institution, St. Petersburg Branch

Email: ophtalm@mail.ru
ORCID iD: 0000-0002-8670-2964
SPIN-code: 4286-6100

МD, Cand. Sci. (Med.), Ophthalmologist

Russian Federation, Saint Petersburg

Ernest V. Boiko

S.N. Fyodorov Eye Microsurgery Federal State Institution, St. Petersburg Branch; North-West State Medical University named after I.I. Mechnikov; Kirov Military Medical Academy

Email: boiko111@list.ru
ORCID iD: 0000-0002-7413-7478

МD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg; Saint Petersburg; Saint Petersburg

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2. Fig. 1. Color fundus photography of patient with peripapillary retinoshisis (black arrows) and acquired optic disc pit (white arrow), and horizontal scans during structural OCT of the optic nerve head area and the retinoschisis zone (a–f — explanations in the text)

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3. Fig. 2. Results of fundus-microperimetry carried out according to the 24-2 program and results of the morphometry of the optic disc in a patient A with PPR: the arcuate scotoma corresponds to the localization of the PPR (a) and an anomaly of the thickness of the NRP and RNFL in the inferior and inferior-nasal sectors of the optic disc of the left eye (black arrows, b)

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4. Fig. 3. Color fundus photography of patient B with peripapillary retinoshisis and horizontal scans during structural OCT of the optic nerve head area and the retinoschisis zone (arrow, a–f — explanations in the text)

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Copyright (c) 2022 Doktorova T.A., Suetov A.A., Boiko E.V.

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