Surgical management of symptomatic bullous senile retinoschisis without schisis detachment.

PURPOSE: To describe a rare case of bullous senile retinoschisis without schisis detachment in a patient who developed visual loss. METHODS: An 84-year-old woman presented with inferotemporal bullous senile retinoschisis from the 2:00- to 8:00-o'clock meridians overlying the left macula. Pars plana vitrectomy, endolaser photocoagulation over the schisis area, and gas-fluid exchange with a 20% mixture of SF6 were performed. RESULTS: Complete reattachment of the inner retinal layer was achieved. CONCLUSION: Senile retinoschisis without schisis detachment does not usually require surgical management. This case shows an exceptional indication for surgical intervention.