Vitreoretinal surgery without schisis cavity excision for the management of juvenile X linked retinoschisis.

Abstract

Juvenile X linked retinoschisis (XLRS) is a congenital X linked recessive retinal disorder characterised by cystic maculopathy and peripheral schisis. This study presents the case of an 8-month-old boy with a documented positive family history of XLRS, with a large retinoschisis cavity affecting the macula, first in the left eye and 1 year later in the right eye. The patient underwent pars plana vitrectomy in both eyes using 23-G instruments, posterior hyaloid dissection, a small retinotomy, fluid drainage with a 42-G cannula, infrared diode laser and silicone oil as internal tamponade. The anatomical and functional outcomes at 3 years following the first surgery are described. To the authors' knowledge, there is no previously reported experience with this technique in patients with XLRS.

• Authors: J García-Arumí, I A Corcóstegui, R Navarro, M A Zapata, M H Berrocal
• Journal: The British journal of ophthalmology (Br J Ophthalmol) Vol. 92 Issue 11 Pg. 1558-60 (Nov 2008) ISSN: 1468-2079 [Electronic] England
• PMID: 18952658 (Publication Type: Case Reports, Journal Article)

Chemical References

• Silicone Oils

Topics

• Disease Progression
• Humans
• Infant
• Macula Lutea (surgery)
• Male
• Retinal Detachment (complications, surgery)
• Retinoschisis (genetics, pathology, surgery)
• Silicone Oils (administration & dosage)
• Tomography, Optical Coherence (methods)
• Treatment Outcome
• Visual Acuity (physiology)
• Vitrectomy (methods)