Presentation
Rarely, white flecks or areas of schisis in the peripheral retina can be present. [institut-vision.org]
Case presentation A 63-year-old man presented to the ophthalmic outpatient clinic complaining of floaters in the right eye (OD) for a duration of two months. [ncbi.nlm.nih.gov]
Case Presentation A 63-year-old man presented to the ophthalmic outpatient clinic complaining of floaters in the right eye (OD) for a duration of two months. [cureus.com]
Acquired retinoschisis is most commonly peripheral, unilateral, asymptomatic, and present in an older demographic. XLRS is usually bilateral, central, symptomatic, and present in a younger male demographic (Table 1). [journal.opted.org]
Respiratoric
- Aspiration
The third RD repair for case 17 was performed with PPV, the fourth via combined PPV/lensectomy/peripheral iridectomy/membrane peel/silicone oil, and the final RD repair was via PPV with aspiration of subretinal PFO and placement of silicone oil. [journalretinavitreous.biomedcentral.com]
Eyes
- Diplopia
Post-operative complications that were recorded included ocular hypotony/hypertension within 1 month of surgery, choroidal detachment, epiretinal membrane (ERM), cystoid macular edema (CME), diplopia or strabismus, macular atrophy, corneal decompensation [journalretinavitreous.biomedcentral.com]
Treatment
Current indications for treatment, treatment modalities, and complication rates published in recent literature are analysed. [read.qxmd.com]
The very latest treatments for keratoconus. Dry Eye – What You Need To Know About this guide Learn more about the causes, diagnosis and treatment of dry eye, including: What to know about dry eye treatment. [theeyepractice.com.au]
Even this change does not of itself merit urgent treatment. [nature.com]
Ophthalmology. 1986;93(9):1127-37. ), and it is the only complication in which immediate treatment is indicated. Scleral buckle, laser demarcation photocoagulation, and posterior vitrectomy are treatments described in the literature. [scielo.br]
Retinal detachment (RD) can be associated with SR in approximately 0.05% of the cases in which urgent treatments are indicated. [ncbi.nlm.nih.gov]
Prognosis
The indications for treatment should be seriously analysed to avoid any intervention that can be harmful for the patient’s prognosis. [rbojournal.org]
[…] natural history study of 123 consecutive, nonselected patients (218 eyes) with senile retinoschisis examined periodically, while deliberately withholding all forms of treatment, for from 1 to 21 years (average, 9.1 years) so that the natural behavior and prognosis [read.qxmd.com]
PROGNOSIS • Vision is typically unaffected or only minimally affected if the area of retinoschisis remains peripheral. • The prognosis is significantly worse should a retinal detachment develop. [entokey.com]
In a long-term follow-up study (n=946), the age-standardized prevalence of retinoschisis was 3.9% (95% confidence interval, 2.6-5.2) in persons aged 60-80 years. [1] Prognosis In a large study conducted by Byer, no change in visual acuity occurred over [emedicine.medscape.com]
Etiology
Etiology and pathogenesis The etiology of degenerative retinoschisis is poorly understood. Genetic, vascular, nutritional, or tractional mechanisms do not seem to be implicated in the pathogenesis of the condition. [institut-vision.org]
[…] and Pathogenesis Although the exact etiology is unknown, there is no evidence to suggest a genetic, vascular, or nutritional etiologic component[3]. [eyerounds.org]
ETIOLOGY • Generally develops as a consolidation of intraretinal cysts in an area of peripheral cystoid degeneration – Begins anterior at the ora serrata and extends posteriorly – The splitting most often occurs in the outer plexiform layer COMMONLY ASSOCIATED [entokey.com]
Related Topics Retinal Detachment Retinal Tear Diabetic Retinopathy Age-Related Macular Degeneration Retinal Vascular Diseases Retinal Artery Occlusion Retinal Vein Occlusion Retinal Hemorrhage Vitreous Hemorrhage of any Etiology Central Serous Retinopathy [retinasocal.com]
Epidemiology
Epidemiology, onset & clinical features Epidemiology Degenerative retinoschisis affects about 5-7% of the adult population. Occurrence in up to 22% of individuals older than 40 years has been reported. Both genders are equally affected. [institut-vision.org]
Epidemiology Frequency United States The prevalence of senile retinoschisis is high in the normal population (4-22% of individuals older than 40 years). [emedicine.medscape.com]
EPIDEMIOLOGY Incidence Not clearly defined. Prevalence • Ranges from 1.65–7% among persons older than 40 years (1) • Generally equal in male and females RISK FACTORS • Preexisting peripheral retinal cystoid degeneration • Hyperopia Genetics Unknown. [entokey.com]
Epidemiology Reported prevalence of disease varies widely due to population-based RS studies, difficulty of observing lesions due to its peripheral location, and the fact that most patients are asymptomatic. [eyerounds.org]
Pathophysiology
Pathophysiology Senile retinoschisis develops from the coalescence of intraretinal microcysts located in an area of peripheral cystoid degeneration near the ora serrata and extends posteriorly and circumferentially. [emedicine.medscape.com]
PATHOPHYSIOLOGY • Vision is not significantly affected when the schisis cavity remains in the periphery • Visual loss occurs predominantly in 2 circumstances: – The area of retinoschisis extends posteriorly toward, or into, the macula (occurs in 3% of [entokey.com]
Prevention
There is no better time to be proactive and prevent further progression of this condition. The earlier treatment begins, the better the outcome. [theeyepractice.com.au]
For treatment, a barrage argon laser photocoagulation was performed to surround the retinoschisis and prevent further extension (Figure 1). [ncbi.nlm.nih.gov]
Surgery is undertaken to prevent retinal detachment, when inner and outer retinal holes are found without retinal detachment. Surgery is performed if retinoschisis is associated with a retinal detachment. [emedicine.medscape.com]
Prevention How can I prevent retinoschisis? You can’t prevent retinoschisis. There’s no known cause of acquired retinoschisis. [my.clevelandclinic.org]