Typical and atypical clinical presentations of X-Linked retinoschisis: A case series and literature review

Taku Wakabayashi, Emmanuel Chang, Eric Nudleman, Ehab N. El-Rayes, Yoshihiro Yonekawa

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

X-linked retinoschisis (XLRS) is an X-linked inherited retinal dystrophy characterized by mild-to-severe visual impairment, splitting of the retinal layers, and a reduction in the dark-adapted b-wave amplitude on the electroretinogram. Typical clinical features include macular and peripheral schisis. Relatively common features reported include rhegmatogenous or tractional retinal detachment, vitreous hemorrhage, retinal pigment epithelial changes, vitreous veils, and various retinal vascular abnormalities with or without exudation. Macular hole and macular folds are atypical presentations of XLRS, along with several other rare findings. Here, we report 4 cases of XLRS with atypical clinical presentations and review the literature on XLRS, with a focus on the variable clinical features of this condition.

Original languageEnglish (US)
Pages (from-to)347-360
Number of pages14
JournalSurvey of Ophthalmology
Volume68
Issue number3
DOIs
StatePublished - May 1 2023

Keywords

  • Macular folds
  • Macular hole
  • Macular retinoschisis
  • Peripheral schisis
  • Rhegmatogenous retinal detachment
  • Traction retinal detachment
  • Vacular abnormalities
  • Vitreous hemorrhage
  • X-linked retinoschisis
  • Electroretinography
  • Vitreous Hemorrhage
  • Tomography, Optical Coherence
  • Humans
  • Retina
  • Retinoschisis/diagnosis
  • Retinal Detachment

ASJC Scopus subject areas

  • Ophthalmology

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