What is Retinoschisis?

Retinoschisis is a degenerative disorder of the retina that is more common in elderly. This is characterized by separation (schisis) that develops between the two major retinal layers(the outer layer and the inner layer). This creates a blister-like elevation which is often confused with retinal detachment. However, unlike a retinal detachment, retinoschisis has a more favorable course and less commonly needs surgical intervention. The schisis usually occurs in areas of retina that are not used for vision and, therefore, most patients are unaware of having this disorder.

Symptoms of Retinoschisis?

Retinoschisis is asymptomatic except when it progresses to the point of schisis cavities or retinal detachment. For the congenital form, one of the first signs is a decline in central vision and peripheral vision.

Types of Retinoschisis

There are two types of retinoschisis and they include the following:

Congenital/hereditary retinoschisis (X-linked juvenile retinoschisis or X-linked retinoschisis): This congenital condition is something you’re born with.n Also called juvenile X-linked retinoschisis and it usually affects both eyes and men more than women.

Degenerative retinoschisis (senile retinoschisis or acquired retinoschisis): Degenerative retinoschisis usually occurs in people in their 50s, 60s, and 70s. This type can be flat or bullous and typically involves the peripheral retina.

Who is at Risk for Retinoschisis?

This disorder is age-related and seen more commonly in patients who are far-sighted. As mentioned, retinoschisis is usually asymptomatic and discovered during routine eye exams. It is often seen using optical coherence tomography (OCT).

Treatments for Retinoschisis

In the majority of cases, retinoschisis is observed for development of retinal holes or detachment. If any of these complications occur, a laser or surgical intervention may be necessary.

Schedule a Consultation

It is important to get your eyes checked regularly to make sure your eyes are still healthy and functioning. If you or your child have this condition, it can be detected during a routine eye exam.

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