Surgical removal of the internal limiting membrane in progressive macular change in x-linked juvenile retinoschisis.
OBJECTIVE
To report two cases of progressive macular changes in X-linked juvenile retinoschisis (XLRS) treated with vitrectomy.


METHODS
A 16-year-old boy and a 13-year-old boy with progressive deterioration of vision underwent vitrectomy with internal limiting membrane peeling with or without gas injection for vitreous traction. Optical coherence tomography was performed to monitor morphologic changes of the macula before and after surgery.


RESULTS
During follow-up (at 6 months and 3 months, respectively), both patients had anatomical improvement and minimal improvement in vision.


CONCLUSIONS
We postulate that vitreous tractional force causes the progressive structural deformity of the macula in XLRS.
From the *Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea; and the †Department of Ophthalmology, Youndong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Suk Ho
SH
Byeon
Sung Chul
SC
Lee
Hyoung Jun
HJ
Koh
Sung Soo
SS
Kim
Oh Woong
OW
Kwon