Differentiating Retinal Detachment, Pigment Epithelial Detachment & Retinoschisis

Retinoschisis: Splitting within the retina

There are 2 types of retinoschisis:

  • Congenital: Affects mostly boys and young men. It is known as juvenile, X-linked retinoschisis.
  • Acquired or Degenerative: The most common form, occurs as a result of aging and is most commonly found inferotemporal.

Retinal Detachment: Separation of the neurosensory retina from the RPE

Rhegmatogenous RD is the most common and is secondary to aging and improper vitreous detachment. The median age of onset is 55 y/o.

Pigment Epithelial Detachment: Separation of the RPE from Bruchs membrane

PEDs are categorized based on their content: drusenoid, serous, vascularized, or mixed components.