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Eye Care Archive (Expert Forum)
Maculoschisis
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
Maculoschisis
by Charming, May 29, 2006 12:00AM
I am 43 yo male. I undertook a cataract surgery with a monofocal IOL implant on my right eye on 10 May. I am considering a similar surgery on my left eye on 7 June. Both of my eyes are highly myopic and both of my eyes had retina holes (in the peripheral) in the past, with surgerical and laser operations carried out to repair these holes, in 1978 (right eye) and last year (left eye) respectively.
Recently I had an OCT scan on both eyes and was diagnosed "loss of normal foveal depression on both eyes. Maculoschisis on right eye, suspicious on the left eye". What does it mean?
The central vision of my right eye also started to be distorted at the time of having a retinal hole in 1978. So I rely heavily on my left eye for reading. Will the upcoming cataract surgery potentially affect the integrity of the macular of my left eye?
Recently I had an OCT scan on both eyes and was diagnosed "loss of normal foveal depression on both eyes. Maculoschisis on right eye, suspicious on the left eye". What does it mean?
The central vision of my right eye also started to be distorted at the time of having a retinal hole in 1978. So I rely heavily on my left eye for reading. Will the upcoming cataract surgery potentially affect the integrity of the macular of my left eye?
Doctor's Answer
by Forum-OD-MP, May 29, 2006 12:00AM
maculoschisis is also known as retinoschisis. its a splitting of the retina into 2 separate layers. i dont think there is any treatment for it, although i could be wrong. it causes progressive central vision loss in those who have it. a quick google yeilded the following links:
http://www.kellogg.umich.edu/patientcare/conditions/retinoschisis.html
http://www.eyemdlink.com/Condition.asp?ConditionID=394
http://www.revoptom.com/HANDBOOK/sect5k.htm
http://www.webmd.com/hw/raising_a_family/nord517.asp
i dont know if your impending cataract surgery will have an effect. it is certainly possible b/c cataract extraction frequently causes swelling of the macula, which in my mind could worsen a split. but you'll have to ask your surgeon. definitely ask before the procedure.
http://www.kellogg.umich.edu/patientcare/conditions/retinoschisis.html
http://www.eyemdlink.com/Condition.asp?ConditionID=394
http://www.revoptom.com/HANDBOOK/sect5k.htm
http://www.webmd.com/hw/raising_a_family/nord517.asp
i dont know if your impending cataract surgery will have an effect. it is certainly possible b/c cataract extraction frequently causes swelling of the macula, which in my mind could worsen a split. but you'll have to ask your surgeon. definitely ask before the procedure.
I read recently that Ra
My question is that perhaps macular holes also are indicatiors of some type of systemic inflammation and that the macula might
respond to some type of anti-inflammatory medication.
Any ideas?
I have thought about deferring the cataract surgery for my left eye since the cataract was only moderate and my left eye is the better eye which I rely on for reading. However, I have decided to go ahead since the cataract is deteriorating and it is inconvenient and sometimes uncomfortable to wear the contact lens for long hours as well as relying on spectacles for near vision. At the end of the day, I have to bear the risks of the cataract operation sooner or later.
To avoid the risk of simultaneous intraocular infections on both eyes, I have also decided to have the two cataract surgeries separated by several weeks.
Good luck with your surgery!