Clinical and surgical approach to retinoschisis

PURPOSE OF REVIEW: To summarize the recent literature on the clinical and surgical management of retinoschisis. RECENT FINDINGS: Novel analyses of the existing imaging modalities, including ultra wide-field imaging, near-infrared imaging, blue light reflectance, and color Doppler ultrasound, can be adjuncts to existing diagnostic tools such as ocular coherence tomography (OCT) and clinical examination to differentiate between rhegmatogenous retinal detachment (RRD) and retinoschisis. SUMMARY: Degenerative retinoschisis can be challenging to differentiate from a RRD through clinical examination. Although ocular coherence tomography (OCT) is the typical approach to diagnosing retinoschisis, there have been many promising diagnostic developments to better prognosticate and differentiate between similar entities. Given the difficulty in managing these cases, medical and surgical management are typically at the discretion of the treating physician.