Title

DOES THE VITREOUS PLAY A ROLE IN MACULAR X-LINKED RETINOSCHISIS? CASE REPORT

Introduction

X-linked juvenile retinoschisis (XLRS) is one of the most common genetic causes of juvenile progressive retinal-vitreal degeneration in males. Macular x-linked juvenile retinoschisis (XLRS) has no standard treatment yet. The case presented in this report might to understand the role of vitreous in XLRS.

Methods

Multimodal exams was performed after pars plana vitrectomy (PPV) in a 39 years old male patient with macular x-linked retinoschisis. We evaluated the macular schisis behavior, that changed after vitreous traction withdrawal by PPV.

Results

The surgical result obtained in the right eye suggests a possible role of vitreoretinal traction in XLRS, but more studies should be performed to achieve a better understanding of the role of vitreous in X-linked macular retinoschisis.

Discussion

Macular x-linked juvenile retinoschisis has no standard treatment yet. Attempts has been made with clinical treatments and surgical intervention with restricted success. The main reason is because it is a genetic disease. However, the role of the vitreous in this disease is not clear. Herein, we describe a successful PPV for macular schisis in a patient whit X-linked juvenile retinoschisis. The case presented in this report might clarify the role of vitreous in XLRS. The posterior hyaloid detachment during pars plana vitrectomy resulted in complete reattachment of the macula. Therefore the surgical result obtained suggests a possible role of vitreoretinal traction in XLRS, however further studies should be performed in order to achieve a better understanding of the role of vitreous in X-linked macular retinoschisis.

Keywords

retinoschisis, vitreous role, macular schisis

Area

CLINICAL CASE

Authors

BERNARDO ANTONIO NEGREIROS MOTA, BARBARA STOFEL VENTORIN, FELIPE MANSUR MARTIRES, THIAGO ISSAMU SWIECH, MARCELLO de QUADROS RIBEIRO, RENATA BIGOLIN SIVIERO, CARLOS AUGUSTO MOREIRA NETO, CARLOS AUGUSTO MOREIRA JUNIOR