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LETTER TO THE EDITOR
Year : 2016  |  Volume : 64  |  Issue : 3  |  Page : 252-253

Comments on temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment


Dr. RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication4-May-2016

Correspondence Address:
Dr. Brijesh Takkar
Dr. RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.181733

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How to cite this article:
Takkar B, Azad SV. Comments on temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment. Indian J Ophthalmol 2016;64:252-3

How to cite this URL:
Takkar B, Azad SV. Comments on temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment. Indian J Ophthalmol [serial online] 2016 [cited 2020 Feb 17];64:252-3. Available from: http://www.ijo.in/text.asp?2016/64/3/252/181733

Sir,

Goel and Ghosh present a very interesting case in their report entitled, “Temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in X-linked retinoschisis with retinal detachment.”[1] The authors document with the help of optical coherence tomography, temporary resolution of foveal schisis in a case operated for retinal detachment with X-linked retinoschisis, that recurred after silicone oil removal.

The case not only provides an insight into pathology of the inherited disorder but also underlines the irreversible visual loss that may be associated with foveal schisis. Visual acuity had improved to 20/120 at the time when foveal schisis had temporarily resolved due to oil tamponade, but after its recurrence following oil removal, the visual acuity remained similar, 20/80, instead of decreasing that one may expect. Therefore, morphological alignment of the middle retinal layers did not contribute to visual acuity which had been lost permanently. Although good results with surgery have been published earlier,[2] surgery for foveal schisis alone hence may not always be fruitful.

Another valuable conclusion that one may draw from this unique case is that the best time to perform internal limiting membrane (ILM) peel in such cases of retinal detachment would be during oil removal rather than during vitrectomy itself. Macula at that time would be more resistant to inadvertent damage due to manual traction. The authors too mention the controversy surrounding ideal treatment of X-linked foveal schisis and the risk of macular complication during ILM peel in patients with foveal schisis.

We keenly await the authors' response.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Goel N, Ghosh B. Temporary resolution of foveal schisis following vitrectomy with silicon oil tamponade in x-linked retinoschisis with retinal detachment. Indian J Ophthalmol 2015;63:867-8.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Wang M, Sun Z, Xu G. Structural and functional changes after surgical treatment in foveoschisis: A case report. Clin Exp Optom 2011;94:314-7.  Back to cited text no. 2
    




 

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