Infantile vitreous hemorrhage as the initial presentation of X-linked juvenile retinoschisis.
The authors report two cases of X-linked juvenile retinoschisis (XLRS) manifested as bilateral vitreous hemorrhage as early as in an 1-month-old infant and in a 3-month-old infant. The one-month-old male infant showed massive bilateral vitreous hemorrhage. During vitrectomy, thin membrane representing an inner part of schisis cavity was excised and intraschisis hemorrhage was evacuated. As intraschisis cavities were cleared, the stump of inner layer appeared as the demarcation line between the outer layer of the schisis retina and non-schisis retina. The other three-month-old male infant presenting with esodeviation also showed bilateral vitreous hemorrhage. Typical bilateral retinoschisis involving maculae could be seen through vitreous hemorrhage in both eyes on fundus examination. Spontaneous absorption of hemorrhage was observed on regular follow-up. XLRS could be manifested as massive hemorrhage inside or outside of the schisis cavity early in infancy.
Lee
Jong Joo
JJ
Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
Kim
Jeong Hun
JH
Kim
So Yeon
SY
Park
Sung Sup
SS
Yu
Young Suk
YS
D003937:Diagnosis, Differential; D004596:Electroretinography; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D041441:Retinoschisis / Q000150:complications* / Q000175:diagnosis; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery