AI Article Synopsis

  • Pars plana vitrectomy and gas-fluid exchange were effective in reattaching the retinas of 12 patients with symptomatic retinoschisis retinal detachments associated with significant outer-layer holes.
  • Post-surgery, 58% of patients experienced improved visual acuity, while 17% maintained their vision, and 25% saw a decline, primarily due to cataracts and epiretinal membranes.
  • Cataracts developed in some patients, necessitating additional surgery, but those who underwent cataract extraction achieved 20/20 vision, with all eyes involving the macula improving or stabilizing after treatment.

Article Abstract

Pars plana vitrectomy and gas-fluid exchange were used to successfully reattach eyes of 12 patients who had symptomatic retinoschisis retinal detachments (RDs) associated with large or posterior outer-layer holes. Visual acuity improved postoperatively in seven (58%) eyes, was unchanged in two (17%) eyes, and decreased in three (25%) eyes. Loss of vision was secondary to a mild posterior subcapsular cataract in one eye and to epiretinal membranes in the other two. In two other eyes, cataracts developed that subsequently required an extracapsular cataract extraction (ECCE) and posterior chamber intraocular lens (PC IOL) implantation with 20/20 visual acuity in both eyes after cataract surgery. All eyes with a macula-involved RD stabilized or improved in visual acuity. Surgical indications, techniques, and results in the management of these retinoschisis RDs are discussed.

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http://dx.doi.org/10.1016/s0161-6420(90)32558-7DOI Listing

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