Optical coherence tomography of bilateral posterior microphthalmos with papillomacular fold and novel features of retinoschisis and dialysis

Am J Ophthalmol. 2004 Sep;138(3):480-1. doi: 10.1016/j.ajo.2004.03.015.


Purpose: To report a case of retinoschisis and dialysis associated with bilateral posterior microphthalmos and papillomacular fold.

Design: Observational case series.

Methods: Complete ophthalmologic examination of three of five siblings presenting with bilateral posterior microphthalmos and papillomacular fold. Optical coherence tomography (OCT) data are presented to confirm the abnormal anatomy.

Results: All subjects have bilateral elevated horizontal papillomacular retinal fold with cystoid macular edema and shallow subretinal fluid. Optical coherence tomography was consistent with our examinations. One subject, a 13-year-old Hispanic, initially presented with retinoschisis in the superotemporal quadrant of the left retina that developed 9 years later into a retinal dialysis without subretinal fluid. The right eye of this same patient developed retinoschisis in the far superotemporal retinal periphery during 9 years of observation.

Conclusion: Retinoschisis and dialysis may occur in patients with posterior microphthalmos with papillomacular fold. Optical coherence tomography may be helpful in assessing these patients.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Diagnostic Techniques, Ophthalmological*
  • Humans
  • Macular Edema / diagnosis
  • Male
  • Microphthalmos / diagnosis*
  • Microphthalmos / genetics
  • Retina / pathology*
  • Retinal Perforations / diagnosis*
  • Retinal Perforations / genetics
  • Retinoschisis / diagnosis*
  • Retinoschisis / genetics
  • Siblings
  • Tomography, Optical Coherence*