Acquired retinoschisis resolved after 23Gage pars plana vitrectomy in posterior microphthalmos
详细信息 查看全文
- 作者：Shanshan Yu ; Yi Gao ; Xiaoling Liang ; Yongsheng Huang
- 关键词：Microphthalmos ; Acquired retinoschisis ; Pars plana vitrectomy
- 刊名：BMC Ophthalmology
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：14
- 期：1
- 全文大小：304 KB
- 参考文献：1. Spitznas, M, Gerke, E, Bateman, JB (1983) Hereditary posterior microphthalmos with papillomacular fold and high hyperopia. Arch Ophthalmol 101: pp. 413-417 CrossRef
2. Khairallah, M, Messaoud, R, Zaouali, S, Ben Yahia, S, Ladjimi, A, Jenzri, S (2002) Posterior segment changes associated with posterior microphthalmos. Ophthalmology 109: pp. 569-574 CrossRef
3. Slotnick, S, Fitzgerald, DE, Sherman, J, Krumholz, DM (2007) Pervasive ocular anomalies in posterior microphthalmos. Optometry 78: pp. 71-77 CrossRef
4. Pehere, N, Jalali, S, Deshmukh, H, Kannabiran, C (2011) Posterior microphthalmos pigmentary retinopathy syndrome. Doc Ophthalmol 122: pp. 127-132 CrossRef
5. Sonmez, K, Ozcan, PY (2012) Angle-closure glaucoma in a patient with the nanophthalmos-ocular cystinosis-foveoschisis-pigmentary retinal dystrophy complex. BMC Ophthalmol 12: pp. 23 CrossRef
6. Aldahmesh, MA, Nowilaty, SR, Alzahrani, F, Al-Ebdi, L, Mohamed, JY, Rajab, M, Khan, AO, Alkuraya, FS (2011) Posterior microphthalmos as a genetically heterogeneous condition that can be allelic to nanophthalmos. Arch Ophthalmol 129: pp. 805-820 CrossRef
7. Dhrami-Gavazi, E, Schiff, WM, Barile, GR (2009) Nanophthalmos and acquired retinoschisis. Am J Ophthalmol 147: pp. 108-110 CrossRef
8. Sundin, OH, Leppert, GS, Silva, ED, Yang, JM, Dharmaraj, S, Maumenee, IH, Santos, LC, Parsa, CF, Traboulsi, EI, Broman, KW, Dibernardo, C, Sunness, JS, Toy, J, Weinberg, EM (2005) Extreme hyperopia is the result of null mutations in MFRP, which encodes a Frizzled-related protein. Proc Natl Acad Sci U S A 102: pp. 9553-9558 CrossRef
9. Yu, H, Li, T, Luo, Y, Yu, S, Li, S, Lei, L, Li, J, Ding, X, Yuan, L, Tang, S (2012) Long-term outcomes of vitrectomy for progressive X-linked retinoschisis. Am J Ophthalmol 154: pp. 394-402 CrossRef
10. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2415/14/65/prepub - 刊物主题：Ophthalmology;
- 出版者：BioMed Central
- ISSN：1471-2415
文摘
Background Posterior microphthalmos combined with acquired retinoschisis is a rare entity. This report presents a case of acquired retinoschisis in a patient with posterior microphthalmos and discusses the management for such disease. The patient exhibited acquired peripheral retinal schisis in both eyes. Case presentation The patient presented with a fix scotoma and decrease in visual acuity for 2?weeks in his left eye. Ocular examination revealed that his best-corrected visual acuity was 0.6 in right eye and 0.2 in left eye. The patient had amblyopia because of hyperopia with spherical equivalent of +11.75 diopters in the right eye and +12.00 diopters in the left eye. The axial lengths were 18.41?mm in right and 18.43?mm in left eyes respectively. Slip lamp examination found normal anterior segments. Funduscopy showed bilateral retinoschisis in inferotemporal retina. The schisis in right eye was limited to peripheral retina whereas the schisis in left eye was bullous type. The schisis in the left eye extended from the periphery to the posterior macular region in left eye. A pars plana vitrectomy was performed in the left eye and visual acuity was restored to 0.6. Conclusion Posterior microphthalmos combined with retinoschisis is rare. When it appears in peripheral retina, the schisis remains stable. In cases where the schisis extends to posterior pole and affects the macula, surgery in the form of pars plana vitrectomy could be an option.