Spectral Domain Optical Coherence Tomography Features of Traumatic Macular Retinoschisis

A 30‐year‐old man noticed acute visual loss in his left eye following explosion of a vehicle tire tube while inflating. On presentation, Snellen visual acuity (VA) was 20/20 in the right eye and 2 meters counting fingers in the left eye. Relative afferent pupillary defect was negative. A small area of temporal conjunctival hemorrhage, anterior chamber red blood cells (1+), and inferotemporal iridodialysis extending 3 clock hours were evident on slit lamp biomicroscopy. Fundus examination revealed thickening and yellow discoloration of the macula and a mild vitreous hemorrhage [Figure 1]. Spectral domain optical coherence tomography (SD‐OCT) of the left eye showed disruption of the foveal anatomy. OCT findings included neurosensory detachment of temporal foveal region, disruption of the outer nuclear layer, cystic disruption of the outer plexiform layer, and disruption of the external limiting membrane, ellipsoid zone, and interdigitation zone in sub foveal and nasal foveal regions. Large schisis cavities could be seen under fovea. The central foveal thickness was recorded as 767 μm [Figure 2]. Spectral Domain Optical Coherence Tomography Features of Traumatic Macular Retinoschisis