ABSTRACT
OBJECTIVE@#To explore the genetic basis for a Chinese pedigree affected with X-linked retinoschisis.@*METHODS@#Clinical data of the pedigree was collected. Following DNA extraction, PCR and Sanger sequencing were carried out to detect potential variant in the RS1 gene. The result was verified by using PCR and restriction fragment length polymorphism assay.@*RESULTS@#All male patients were found to harbor a c.458T>G (p.Val153Gly) variant of the RS1 gene, for which Their mothers were heterozygous carriers. The same variant was not detected among unaffected members of the pedigree as well as 100 healthy controls. Bioinformatic analysis suggested the variant to be pathogenic.@*CONCLUSION@#The c.458T>G (p.Val153Gly) variant of the RS1 gene probably underlay the X-linked retinoschisis in this pedigree.
Subject(s)
Humans , Male , China , Eye Proteins/genetics , Genes, X-Linked , Mutation , Pedigree , Retinoschisis/pathologyABSTRACT
Retinoschisis is an abnormal separation of the retinal layers and is asymptomatic in most cases. Enlargement of the area of retinoschisis and retinal tear and detachment are possible complications of the disease, and the treatment of retinoschisis is controversial. In this case report, we present a case of retinal detachment associated with senile retinoschisis in which pneumatic retinopexy was chosen as the treatment of choice and was performed successfully in one of the eyes. After a literature review on retinoschisis and pneumatic retinopexy for the treatment of associated retinal detachment, we found only one case that was successfully treated without drainage of subretinal fluid, using air as the filler. However, no previous reports have been found in the literature on the effectiveness of pneumatic retinopexy using C3F8 as the sole treatment for progressive retinal detachment in senile retinoschisis.
Retinosquise significa uma separação anormal das camadas da retina e, na maioria dos casos, é assintomática. Aumento da área de retinosquise, roturas e descolamento de retina são possíveis complicações da doença, sendo seus tratamentos controversos. Nesse relato, apresentamos um caso de descolamento de retina associado à retinosquise senil em que foi optado pela retinopexia pneumática como primeiro tratamento, com sucesso em um dos olhos tratados. Revisada literatura sobre retinosquises e retinopexia pneumática para tratamento de descolamento de retina associado, foi encontrado apenas um caso tratado com sucesso, sem drenagem de líquido sub-retiniano, utilizando-se ar como agente tamponante. Não existem relatos na literatura de retinopexia pneumática efetiva utilizando C3F8 como tratamento único para descolamento de retina progressivo na retinosquise senil.
Subject(s)
Humans , Male , Middle Aged , Fluorocarbons/therapeutic use , Retinal Detachment/therapy , Retinoschisis/therapy , Disease Progression , Follow-Up Studies , Light Coagulation , Ophthalmologic Surgical Procedures , Retinal Detachment/pathology , Retinoschisis/pathology , Subretinal Fluid , Tomography, Optical Coherence , Treatment FailureABSTRACT
The purpose of this study is to describe the correlation of findings between results from spectral domain optical coherence tomography (SD-OCT) and microperimetry in a case series regarding patients with Goldmann-Favre syndrome. Goldmann-Favre syndrome is a rare autosomal recessive hereditary vitreo-retinal degeneration that impacts the functionality of vision in subjects. Three men with this condition were assessed and subjected to microperimetry and SD-OCT. Two of the men were brothers. This study finds that the retinoschisis and macular cystoid changes noted in the SD-OCT matched the scotomas revealed by the microperimetry. The findings of each of the individual cases are reported herein.
Subject(s)
Adult , Humans , Male , Young Adult , Eye Diseases, Hereditary/pathology , Macular Edema/pathology , Retinoschisis/pathology , Scotoma/pathology , Tomography, Optical Coherence , Visual Field TestsABSTRACT
Bilateral occurrence of macular hole in X-linked retinoschisis is an extremely rare event. Spectral domain optical coherence tomography (OCT) findings revealed that formation of a macular hole is secondary to the retinoschisis process alone. Bilateral macular holes should be added to the spectrum of X-linked retinoschisis variations and the retinoschisis process alone should be accounted for their formation.
Subject(s)
Adult , Humans , Male , Retinal Perforations/genetics , Retinal Perforations/pathology , Retinoschisis/pathology , Tomography, Optical Coherence , Vision, Low/genetics , Vision, Low/pathologyABSTRACT
Apresentação de caso clínico de paciente de 30 anos com quadro de baixa acuidade visual progressiva há 8 anos, sem diagnóstico conclusivo. Após exame oftalmológico completo, realizado na unidade de urgência oftalmológica da Clínica de Olhos da Santa Casa de Belo Horizonte, foi observado alteração macular em ambos os olhos com aspecto cistóide "em roda de carroça". A ausência de extravasamentos de contraste à angiofluoresceinografia e a presença de cistos e aumento da espessura foveal demonstrados pela tomografia de coerência óptica sugeriram tratar-se de retinosquise juvenil que pôde ser confirmada com o eletrorretinograma.
We report a 30-year-old patient presenting a non-conclusive diagnosis of low progressive visual acuity for 8 years. A cystoid maculopathy (stellate striation) was observed in both eyes after a complete ophthalmologic examination performed in the emergency ward at the Clínica de Olhos da Sanata Casa de Belo Horizonte. The absence of contrast leakage in the foveal region identified by fluorescein angiography and the presence of cysts and increase of foveal thickness in optical coherence tomography suggested juvenile retinoschisis which could be confirmed through electroretinogram.