Retina-Vitreous
1996 , Vol 4 , Num 3
CILINICAL FEATURES AND THERAPEUTIC APPROACHES IN RETINOSCHISIS COMPLICATED WITH RETINAL DETACHMENT
Hacettepe Üni. Göz ABD.
The aim of this study is to determine the clinical features and the therapeutic approaches of the juvenile or senile rctinoschisis complicated with retinal detachment. In this study; over an average of 22.7 months follow up period; 24 eyes of 21 patients, aging between 6-18 years, were examined retrospectively about the clinical features and the therapeutic approaches of rctinochisis with retinal detachment. Among 21 patients (3 Juvenile and 18 senile) 24 eyes had retinoschisis and the most affected quadrant was the interior or the inferotemporal quadrant in 15 eyes (%62.5). In 11 eyes outer hole, in 2 eyes inner hole and in 6 eyes both outer and inner holes were detected. As therapeutic approach; encircling, local buckle and cryothcrapy for 15 eyes, local buckle and cryolherapy for 1 eye; laser photocoagulatton for 3 eyes and laser photocoagulation combined with encircling, local buckle and cryotherapy for 1 eye were performed. For 4 eyes; no therapeutic intervention was done. In the postoperative period, among 20 eyes, 19 demonstrated rcattachmcnt of retina. In operated cases, visual acuity improved in 11 eyes but has not changed in 7 eyes. During progress of the disease, vitreous hemorrhage in 1 eye and recurrence of the retinal detachment, in another eye were noted. In retinoschisis cases complicated with retinal detachment, cryotherapy, local buckling, encircling and laser photocoagulation give good results.
Keywords :
Retinoschisis, retinal detachment.