Case report: pneumatic retinopexy for the treatment of progressive retinal detachment in senile retinoschisis

Abstract

Retinoschisis is an abnormal separation of the retinal layers and is asymptomatic in most cases. Enlargement of the area of retinoschisis and retinal tear and detachment are possible complications of the disease, and the treatment of retinoschisis is controversial. In this case report, we present a case of retinal detachment associated with senile retinoschisis in which pneumatic retinopexy was chosen as the treatment of choice and was performed successfully in one of the eyes. After a literature review on retinoschisis and pneumatic retinopexy for the treatment of associated retinal detachment, we found only one case that was successfully treated without drainage of subretinal fluid, using air as the filler. However, no previous reports have been found in the literature on the effectiveness of pneumatic retinopexy using C3F8 as the sole treatment for progressive retinal detachment in senile retinoschisis.

Anatomic and Visual Outcomes Following Surgical Repair of Retinoschisis-Related Retinal Detachments

“…Our anatomic success rate with SB alone or in combination with VIT, while not statistically superior to VIT alone, seems to support this practice pattern. Despite several case reports that demonstrated the success of pneumatic retinopexy in treating a retinoschisis-related detachment, [18][19][20] we have hesitated to offer this procedure to patients with a retinoschisis-related detachment until a larger study is published that demonstrates efficacy equivalent to SB or VIT.…”

Two Cases of Pneumatic Retinopexy as a Primary Successful Intervention of Rhegmatogenous Retinal Detachment

“…Superior temporal retinal tear had operculated and traction was released [17]. Suzuki et al [18] reported a case of successful pneumatic retinopexy for retinal detachment associated with a progressive superior temporal retinoschisis.…”