Literature DB >> 27146945

Comments on temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment.

Brijesh Takkar1, Shorya V Azad.   

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Year:  2016        PMID: 27146945      PMCID: PMC4869473          DOI: 10.4103/0301-4738.181733

Source DB:  PubMed          Journal:  Indian J Ophthalmol        ISSN: 0301-4738            Impact factor:   1.848


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Sir, Goel and Ghosh present a very interesting case in their report entitled, “Temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment.”[1] The authors document with the help of optical coherence tomography, temporary resolution of foveal schisis in a case operated for retinal detachment with X-linked retinoschisis, that recurred after silicone oil removal. The case not only provides an insight into pathology of the inherited disorder but also underlines the irreversible visual loss that may be associated with foveal schisis. Visual acuity had improved to 20/120 at the time when foveal schisis had temporarily resolved due to oil tamponade, but after its recurrence following oil removal, the visual acuity remained similar, 20/80, instead of decreasing that one may expect. Therefore, morphological alignment of the middle retinal layers did not contribute to visual acuity which had been lost permanently. Although good results with surgery have been published earlier,[2] surgery for foveal schisis alone hence may not always be fruitful. Another valuable conclusion that one may draw from this unique case is that the best time to perform internal limiting membrane (ILM) peel in such cases of retinal detachment would be during oil removal rather than during vitrectomy itself. Macula at that time would be more resistant to inadvertent damage due to manual traction. The authors too mention the controversy surrounding ideal treatment of X-linked foveal schisis and the risk of macular complication during ILM peel in patients with foveal schisis. We keenly await the authors' response.

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  2 in total

1.  Structural and functional changes after surgical treatment in foveoschisis: a case report.

Authors:  Min Wang; Zhongcui Sun; Gezhi Xu
Journal:  Clin Exp Optom       Date:  2011-05       Impact factor: 2.742

2.  Temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment.

Authors:  Neha Goel; Basudeb Ghosh
Journal:  Indian J Ophthalmol       Date:  2015-11       Impact factor: 1.848

  2 in total

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