DISLOCATED INTRAOCULAR IMPLANT

This patient had RK surgery years ago which resulted in an eventual retinal detachment with subsequent cataract extraction and IOL placement.  The photo below follows a recent mild head trauma incident after which he had symptoms of monocular diplopia and starbursting.  

CHRPE

LARGE RETINAL HOLE WITH OPERCULUM

RETINOSCHISIS

Look closely and you will see a retinoschisis in the right eye near the very bottom and the left eye around two o'clock (the right eye is the image on the left).  A retinoschisis is a detachment of the retina from itself.  A retinal detachment is when all of the nine layers of the retina detach from the underlying choroid.  Retinoschisis does not normally need to be treated and rarely involves the posterior pole.  Close monitoring is warranted. 

RETINOSCHISIS

Below is a picture of a patient with a retinoschisis with an outer layer break in the retina.  The lower arrow points to the break and the higher arrow points to the edge of the schisis.  A schisis is a separation of the retina from itself.  The edge of the schisis is usually smooth and in a circular pattern as shown here.

MULTIPLE ATROPHIC RETINAL HOLES

TREATED RETINAL HOLES