PURPOSE: To describe the efficacy of vitreous surgery to treat X-linked retinoschisis. DESIGN: Retrospective, comparative, interventional case series. PARTICIPANTS: Three patients (5 eyes) had foveal retinoschisis with peripheral retinoschisis. The patients' ages were 26, 7, and 17 years at the first surgery. The preoperative best-corrected visual acuity (BCVA) was 20/100 and 20/40 in patient 1, 20/30 in patient 2, and 20/100 and 20/200 in patient 3. METHODS: The vitreous surgery consisted of core vitrectomy, surgically induced posterior vitreous detachment (PVD), removal of the internal limiting membrane (except for the right eye of patient 1), and 30% sulfur hexafluoride gas tamponade. The follow-up periods ranged from 6 months to 12 years. MAIN OUTCOME MEASURES: Best-corrected visual acuity and retinal tomography monitored by optical coherence tomography. RESULTS: Restoration of the foveal depression with collapse of the schisis cavity was achieved with the first surgery in 4 (80%) of the 5 eyes. In the right eye of patient 1, the retinoschisis persisted after the first surgery because of failed surgically induced PVD; the retinoschisis resolved promptly after the second surgery with successful induction of PVD. The BCVA improved in 3 eyes and was unchanged in 2 eyes. CONCLUSIONS: Vitreous surgery resulted in reattachment of the retinoschisis with visual improvement. Vitreous traction may play a role in the development of foveal retinoschisis.
PURPOSE: To describe the efficacy of vitreous surgery to treat X-linked retinoschisis. DESIGN: Retrospective, comparative, interventional case series. PARTICIPANTS: Three patients (5 eyes) had foveal retinoschisis with peripheral retinoschisis. The patients' ages were 26, 7, and 17 years at the first surgery. The preoperative best-corrected visual acuity (BCVA) was 20/100 and 20/40 in patient 1, 20/30 in patient 2, and 20/100 and 20/200 in patient 3. METHODS: The vitreous surgery consisted of core vitrectomy, surgically induced posterior vitreous detachment (PVD), removal of the internal limiting membrane (except for the right eye of patient 1), and 30% sulfur hexafluoride gas tamponade. The follow-up periods ranged from 6 months to 12 years. MAIN OUTCOME MEASURES: Best-corrected visual acuity and retinal tomography monitored by optical coherence tomography. RESULTS: Restoration of the foveal depression with collapse of the schisis cavity was achieved with the first surgery in 4 (80%) of the 5 eyes. In the right eye of patient 1, the retinoschisis persisted after the first surgery because of failed surgically induced PVD; the retinoschisis resolved promptly after the second surgery with successful induction of PVD. The BCVA improved in 3 eyes and was unchanged in 2 eyes. CONCLUSIONS: Vitreous surgery resulted in reattachment of the retinoschisis with visual improvement. Vitreous traction may play a role in the development of foveal retinoschisis.
Authors: Jin U Kang; Yong Huang; Kang Zhang; Zuhaib Ibrahim; Jaepyeong Cha; W P Andrew Lee; Gerald Brandacher; Peter L Gehlbach Journal: J Biomed Opt Date: 2012-08 Impact factor: 3.170
Authors: Ahmet Taylan Yazici; Necip Kara; Ercument Bozkurt; Mehmet Cakir; Hasan Goker; Ahmet Demirok; Omer Faruk Yilmaz Journal: Middle East Afr J Ophthalmol Date: 2010-10
Authors: Gabriel Luna; Sten Kjellstrom; Mark R Verardo; Geoffrey P Lewis; Jiyun Byun; Paul A Sieving; Steven K Fisher Journal: Invest Ophthalmol Vis Sci Date: 2009-04-22 Impact factor: 4.799