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Schisis in Sickle Cell Retinopathy
Arch Ophthalmol. 2005;123:1607-1609.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Retinal schisis is a rare but potentially serious complication of sickle cell retinopathy.1 It is related to chronic low-grade ischemia of the inner nuclear layer, which houses the Muellerian glia, the structural backbone of the retina.2 Schisis as part of proliferative sickle cell retinopathy is characterized clinically by a concave tractional retinal elevation, retinal nonperfusion, inner-layer breaks, absorption of laser by the outer layer, and a split pattern on optical coherence tomography. Two cases of retinal schisis are described herein, both featuring the conjunctival sickle sign3 and both eventually complicated by outer-layer breaks and retinal detachment that possibly might have been prevented by timely laser treatment.
Report of Cases
Case 1. A 44-year-old African American woman complained that in recent months the visual acuity in her left eye had been decreasing as a result of what she described as "a moving veil." She had been diagnosed with sickle cell disease, type SS, 17 . . . [Full Text of this Article] Comment
AUTHOR INFORMATION
Hermann D. Schubert, MD
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