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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 …