Retinoschisis

Yasir Ahmed, MD, Ingrid U. Scott, MD, MPH and Harry W. Flynn, Jr., MD Reviewed 05/2023

BASICS

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

DESCRIPTION

X-linked recessive retinoschisis (also referred to as ...

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 a...

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 o...

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

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] ...

ADDITIONAL READING

Gervasio K, Peck T, Friedberg M, Rapuano C, et al. The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease. 8th ed. Pennsylvania, PA: Lipp...

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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