A 59-year-old asymptomatic male was referred to our tertiary care center with suspected left inferior bullous retinal detachment. His best corrected visual acuity (BCVA) was 20/20 in right eye and 20/60 in left eye. Anterior segment examination was unremarkable. Binocular indirect ophthalmoscopic examination revealed an elevated, smooth, dome-shaped retinal lesion from 4 o’clock to 8 o’clock extending posterior to the equator, suggestive of bullous retinoschisis. Scleral indentation revealed no obvious break. He underwent ultra-wide fi eld laser scanning imaging (California P200dtX, Optos) [Fig. 1]. Degenerative retinoschisis can be of two types- flat and bullous type. Bullous or reticular retinoschisis is known to occur in the periphery and often extends posterior to the equator. Management is usually observation unless retinoschisis is accompanied with rhegmatogenous retinal detachment.
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