VITRECTOMY for STELLATE NONHEREDITARY IDIOPATHIC FOVEOMACULAR RETINOSCHISIS ASSOCIATED with OUTER RETINAL LAYER DEFECT

Nenhuma Miniatura disponível
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2022
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS AND WILKINS
Citação
RETINAL CASES AND BRIEF REPORTS, v.16, n.3, p.289-292, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose:To describe a case of stellate nonhereditary idiopathic foveomacular retinoschisis associated with outer retinal layer defect treated with pars plana vitrectomy, internal limiting membrane removal, and C3F8 tamponade.Methods:Spectral-domain optical coherence tomography (Heidelberg Engineering, Heidelberg, Germany) scans of a 46-year-old woman with unilateral stellate nonhereditary idiopathic foveomacular retinoschisis were acquired at baseline and 1, 3, 6, and 12 months after surgery.Results:Pars plana vitrectomy was performed after phacoemulsification. The vitreous was circumcised, and the internal limiting membrane was removed with a Tano brush, releasing tangential forces. The patient experienced progressive recovery of the outer retinal layers and improvement of visual acuity during follow-up.Conclusion:Stellate nonhereditary idiopathic foveomacular retinoschisis may be associated with outer retinal layer defect and severe vision loss. Pars plana vitrectomy with internal limiting membrane removal and C3F8 infusion seems to be a safe and feasible treatment in such cases, with potentially good anatomical and functional outcome. © 2022 Lippincott Williams and Wilkins. All rights reserved.
Palavras-chave
optical coherence tomography, retinoschisis, vitrectomy
Referências
  1. Ober, M.D., Freund, K.B., Shah, M., Stellate nonhereditary idiopathic foveomacular retinoschisis (2014) Ophthalmology, 121, pp. 1406-1413
  2. Fragiotta, S., Leong, B.C.S., Kaden, T.R., A proposed mechanism influencing structural patterns in X-linked retinoschisis and stellate nonhereditary idiopathic foveomacular retinoschisis (2019) Eye (Lond), 33, pp. 724-728
  3. Ajlan, R.S., Hammamji, K.S., Stellate nonhereditary idiopathic foveomacular retinoschisis: Response to topical dorzolamide therapy (2019) Retin Cases Brief Rep, 13, pp. 364-366
  4. Haruta, M., Yamakawa, R., Vitrectomy for macular retinoschisis without a detectable optic disk pit (2017) Retina, 37, pp. 915-920
  5. Yu, J., Ni, Y., Keane, P.A., Foveomacular schisis in juvenile X-linked retinoschisis: An optical coherence tomography study (2010) Am J Ophthalmol, 149, pp. 973-978. , e2
  6. Smiddy, W.E., Kim, S.S., Lujan, B.J., Gregori, G., Myopic traction maculopathy: Spectral domain optical coherence tomographic imaging and a hypothesized mechanism (2009) Ophthalmic Surg Lasers Imaging, 40, pp. 169-173
  7. Song, I.S., Shin, J.W., Shin, Y.W., Uhm, K.B., Optic disc pit with peripapillary retinoschisis presenting as a localized retinal nerve fiber layer defect (2011) Korean J Ophthalmol, 25, pp. 455-458
  8. Zumbro, D.S., Jampol, L.M., Folk, J.C., Macular schisis and detachment associated with presumed acquired enlarged optic nerve head cups (2007) Am J Ophthalmol, 144, pp. 70-74
  9. Ikeda, K.S., Iwabe-Marchese, C., Franca, M.C., Jr., Myotonic dystrophy type 1: Frequency of ophthalmologic findings (2016) Arq Neuropsiquiatr, 74, pp. 183-188
  10. Herrador-Montiel, A., Sanchez-Vicente, J.L., Arias-Alcala, M., Clinical features of Goldmann- Favre vitreoretinal degeneration (2012) Arch Soc Esp Oftalmol, 87, pp. 260-262
  11. Duker, J.S., Kaiser, P.K., Binder, S., The International Vitreomacular Traction Study Group classification of vitreomacular adhesion, traction, and macular hole (2013) Ophthalmology, 120, pp. 2611-2619
  12. Weiss, S.J., Adam, M.K., Hsu, J., En Face optical coherence tomography of stellate nonhereditary idiopathic foveomacular retinoschisis (2017) JAMA Ophthalmol, 135, p. e174280
  13. Mandell, J.B., Kim, A.Y., Shahidzadeh, A., Widefield OCT. Findings of a patient with stellate nonhereditary idiopathic foveomacular retinoschisis (2016) Ophthalmic Surg Lasers Imaging Retina, 47, pp. 774-777
  14. Javaheri, M., Sadda, S.R., Atypical peripapillary inner retinoschisis in stellate nonhereditary idiopathic foveomacular retinoschisis (2017) Retin Cases Brief Rep
  15. Dolz-Marco, R., Kato, K., Freund, K.B., Yannuzzi, L.A., Unusual case of stellate nonhereditary idiopathic foveomacular retinoschisis (2017) Retin Cases Brief Rep, 11, pp. S49-S53
  16. Bottos, J., Elizalde, J., Arevalo, J.F., Vitreomacular traction syndrome (2012) J Ophthalmic Vis Res, 7, pp. 148-161
  17. Ouyang, P.B., Duan, X.C., Zhu, X.H., Diagnosis and treatment of myopic traction maculopathy (2012) Int J Ophthalmol, 5, pp. 754-758
  18. Choi, W.S., Merlau, D.J., Chang, S., Vitrectomy for macular disorders associated with lamellar macular hole epiretinal proliferation (2018) Retina, 38, pp. 664-669