Retinal detachment 7 years after prophylactic schisis cavity excision in juvenile X-linked retinoschisis.
A 7-year-old boy with X-linked juvenile retinoschisis developed a retinal detachment at the site of previous prophylactic excision of a schisis cavity. The patient underwent a scleral buckle procedure, pars plana vitrectomy, membrane peel, and silicone oil injection with successful reattachment. At last follow-up, the visual acuity was 20/400 and the retina was attached. Prophylactic excision of a schisis cavity may be complicated by retinal detachment several years after the surgery. Given the favorable natural history of schisis cavities in X-linked juvenile retinoschisis, the decision to perform prophylactic excision should be undertaken cautiously after full consideration of the potential complications.
D001485:Basement Membrane / Q000601:surgery; D005654:Fundus Oculi; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D041441:Retinoschisis / Q000473:pathology / Q000601:surgery*; D012591:Scleral Buckling / Q000379:methods; D012827:Silicone Oils / Q000008:administration & dosage; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
D012827:Silicone Oils