Retinoschisis in Pars Planitis

Malalis, Julia F.; Bhat, Pooja; Shapiro, Michael J.; Goldstein, Debra A.

doi:10.3109/09273948.2015.1125511

Cited by 14 publications

(3 citation statements)

References 10 publications

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“…Brockhurst [ 5 ] described that retinoschisis in chronic peripheral uveitis developed after several years of active disease, with massive exudation overlying the inferior portions of the ora serrata. Treatment of this form of retinoschisis was rarely necessary, with only one case needing wide scleral buckling with subsequent drainage of fluid due to progression [ 5 ]. Similarly, Pollack et al [ 4 ] reported that the schisis/ERD remained stable in 9 of 13 eyes.…”

Section: Discussionmentioning

confidence: 99%

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Total exudative retinal detachment in a child with pars planitis- a challenging case with optimistic results

Navarrete

Jaouni

Amer

2023

J Ophthal Inflamm Infect

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We describe a case report of pediatric pars planitis complicated with massive exudative retinal detachment (ERD). A 7-year-old presented with visual acuity (VA) in the right eye (RE) of 6/9 and in the left eye (LE) 6/15. Fundoscopy revealed BE inferior retinoschisis, vitritis and snowballs. He was treated with systemic immunosuppressants. RE retinoschisis resolved within 2 months. Three years later presented with LE VA 6/60 and total ERD. Systemic and intravitreal steroids were administered. Due to refractoriness, he underwent 360° scleral buckle and drainage of subretinal fluid. No retinal breaks or traction were detected. Five months postoperatively LE VA was 6/7.5. Long-term stable outcome was maintained. We report a challenging total ERD as a complication of pars planitis. Although extensive and non-responsive to medical therapy, complete resolution and improvement in vision was achieved with surgical intervention and systemic immunosuppression. We speculate that uncontrolled chronic vasculitic process culminated in diffuse ERD.

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Section: Discussionmentioning

confidence: 99%

“…It is hypothesized that traction occurs due to contraction of snowbanking caused both tangential and radial traction on the pars plana and peripheral retina leading to peripheral retinal elevation. The elevation subsequently relieves further traction, explaining the lack of progression in the majority of cases [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Total exudative retinal detachment in a child with pars planitis- a challenging case with optimistic results

Navarrete

Jaouni

Amer

2023

J Ophthal Inflamm Infect

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show abstract

“…Nonprogressive tractional elevations can be observed [125]. Progression of retinoschisis can be observed in active or inactive uveitis, but may require surgery to repair retinal detachment [126].…”

Section: Posterior Segmentmentioning

confidence: 99%