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64-year-old man was seen in the office on March 5, 2012. He was in for a comprehensive evaluation, his vision was a little bit off and during the evaluation you saw a peripheral retinal problem in the left eye and suggest he come here for an evaluation. The left eye is his better eye. VISUAL ACUITY: OD 20/32, OS 20/25. IOP: OD 13, OS 12. SLIT EXAMINATION: There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is no posterior vitreous separation. The macula and periphery look healthy. OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation. There is bolus retinoschisis superotemporally extending from 1 o’clock around to 3 o’clock. Photos confirm clinical findings. SPECTRALIS-SD-OCT SCAN: I was able to do a high definition OCT scan along the edge of the retinoschisis showing that there was no concomitive retinal detachment. IMPRESSION: 1. BOLUS RETINOSCHISIS – LEFT EYE DISCUSSION: I explained to the patient he does have retinoschisis in the left eye, but that is present in about eight to ten percent of people, although his pocket of retinoschisis is a little more prominent than average. I assured him the risk of it progressing to a retinal detachment is relatively low. I asked him to return for a check in three months or sooner if he should notice a problem and he will see you regularly.

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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)1140 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/2500000
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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)837 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/2500000
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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)833 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/2500000
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)802 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/2500000
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)424 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/2500000
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)721 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/2500000
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64-year-old man was seen in the office on March 5, 2012. He was in for a comprehensive evaluation, his vision was a little bit off and during the evaluation you saw a peripheral retinal problem in the left eye and suggest he come here for an evaluation. The left eye is his better eye. VISUAL ACUITY: OD 20/32, OS 20/25. IOP: OD 13, OS 12. SLIT EXAMINATION: There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is no posterior vitreous separation. The macula and periphery look healthy. OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation. There is bolus retinoschisis superotemporally extending from 1 o’clock around to 3 o’clock. Photos confirm clinical findings. SPECTRALIS-SD-OCT SCAN: I was able to do a high definition OCT scan along the edge of the retinoschisis showing that there was no concomitive retinal detachment. IMPRESSION: 1. BOLUS RETINOSCHISIS – LEFT EYE DISCUSSION: I explained to the patient he does have retinoschisis in the left eye, but that is present in about eight to ten percent of people, although his pocket of retinoschisis is a little more prominent than average. I assured him the risk of it progressing to a retinal detachment is relatively low. I asked him to return for a check in three months or sooner if he should notice a problem and he will see you regularly.