Macular hole in juvenile X-linked retinoschisis
SJO-Saudi Journal of Ophthalmology. 2013; 27 (4): 283-286
Dans Anglais
| IMEMR
| ID: emr-143021
ABSTRACT
An 18 year-old male with no antecedent of trauma, systemic syndrome or myopia was referred for surgical treatment of a full thickness macular hole in the left eye. A more careful inspection revealed discrete foveal cystic changes in the fellow eye and subtle peripheral depigmented retinal pigment epithelial changes in both eyes. A spectral-domain optical coherence tomography [SD-OCT] scan confirmed, in addition to the full thickness macular hole in the left eye, microcystic spaces in the nuclear layers of both retinae. The diagnosis of X-linked retinoschisis was confirmed with a full field electroretinogram displaying the typical negative ERG. Macular holes are uncommon in the young and those complicating X-linked retinoschisis are rare. This report highlights the importance of investigating the presence of a macular hole in a young patient and illustrates the clinical and SD-OCT clues beyond the foveal center which led to the correct diagnosis of X-linked juvenile retinoschisis.
Recherche sur Google
Indice:
Méditerranée orientale
Sujet Principal:
Perforations de la rétine
/
Décollement de la rétine
/
Tomographie par cohérence optique
/
Myopie
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Saudi J. Ophthalmol.
Année:
2013
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