Isolated foveal retinoschisis as a cause of visual loss in young females
- S A Kabanarou1,2,
- G E Holder1,
- A C Bird1,2,
- A R Webster1,2,
- P E Stanga3,
- S Vickers4,
- B A Harney5
- 1Moorfields Eye Hospital, London, UK
- 2Institute of Ophthalmology, London, UK
- 3St Paul’s Eye Unit, Royal Liverpool University Hospital, UK
- 4The Sussex Eye Hospital, Brighton, UK
- 5Gloucestershire Hospitals NHS Trust, UK
- Correspondence to: Andrew R Webster, MD, Institute of Ophthalmology, Department of Molecular Genetics, 11–43 Bath Street, London EC1V 9EL, UK; andrew.webster{at}ucl.ac.uk
- Accepted 22 November 2002
Foveal or macular retinoschisis is an uncommon retinal disorder, usually seen in patients affected with generalised retinal disease such as X linked retinoschisis,1 Goldmann-Favre syndrome,2 and enhanced S-cone syndrome.3 There have been a handful of previous reports of patients exhibiting foveal retinoschisis in whom there appeared to be limited concomitant peripheral retinal disease,4–6 suggesting the existence of a distinct disorder. We report the clinical findings in four female patients presenting with a reduction in central acuity and exhibiting isolated bilateral foveal retinoschisis, and investigations including scanning laser ophthalmoscopy (SLO) autofluorescence imaging, optical coherence tomography (OCT), and electrophysiology.
Case reports
Case 1
A 17 year old girl presented with bilateral reduction in central vision. With refraction (+0.50DS right, +0.25DS left) her visual acuity was 6/18. On examination the only abnormal finding was thickening of the neurosensory retina at the fovea with a radial pattern of striae bilaterally. There …
