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Retinoschisis

Reviewed 06/2018
 


BASICS

Retinoschisis is a condition in which a portion of the retina has separated into two layers, resulting in visual field defects. 

DESCRIPTION

Types 
  • X-linked recessive retinoschisis (also referred ...

DIAGNOSIS

HISTORY

  • X-linked recessive

    • Variable visual impairment (common)

    • Positive family history

  • Acquired

    • Usually asymptomatic (2)

    • With advanced disease, may have visual field deficits

PHYSICAL EXAM

  • Visual ac...

TREATMENT

GENERAL MEASURES

  • X-linked recessive

    • Refractive correction, low-vision aids, educational support (1)[B]

  • Acquired: same as listed earlier

MEDICATION

Currently, no medication is proved to prevent or...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • X-linked recessive

    • Monitor visual acuity for any significant changes.

    • Dilated fundus exam for evidence of progression (3,4,5)[C]

  • Acquired

    • Same as above

PATIENT EDUCATION

REFERENCES

1
Sikkink SK, Biswas S, Parry NR, et al. X-linked retinoschisis: an update. J Med Genet.  2007;44(4):225–232. [View Abstract on OvidMedline]
2
Buch H, Vinding T, Nielsen NV. Prevalence an...

ADDITIONAL READING

Bagheri N, Wajda BN, eds. The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease. 7th ed. Philadelphia, PA: Wolters Kluwer; 2017. 

SEE ALSO

Retinal Detachment 

CODES

ICD10

  • H33.109 Unspecified retinoschisis, unspecified eye

  • Q14.1 Congenital malformation of retina

  • H33.199 Other retinoschisis and retinal cysts, unspecified eye

  • H33.103 Unspecified retinoschisis, bil...

CLINICAL PEARLS

  • An inherited or acquired condition resulting in variable visual impairments or visual field deficits

  • X-linked recessive

    • Variable clinical course with no proven medical treatment

    • Surgery i...

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