Vitreous changes ■Ⅴ itreous veils are a common feature ofⅩLRS and they result from separation of the thin inner wall of a peripheral schisis cavity and inner wall holes bridging vessels that cross between the two walls of the schisis cavity and unsupported retinal vessels, which course directly into the schisis cavity or vitreous
Vitreous changes ◼ Vitreous veils are a common feature of XLRS, and they result from separation of the thin inner wall of a peripheral schisis cavity and inner wall holes. ◼ bridging vessels that cross between the two walls of the schisis cavity and unsupported retinal vessels, which course directly into the schisis cavity or vitreous
Bridging vessels
Bridging vessels
Other ocular findings AXlal hypermetropia frequently accompanies XLRS ■ Cataract a Strabismus has been reported in approximately 30%o of patients
Other ocular findings ◼ Axial hypermetropia frequently accompanies XLRS. ◼ Cataract ◼ Strabismus has been reported in approximately 30% of patients
Complications Retinal detachment: 5-220 Vitrous hemorrhage 4-40% caused by disrupted bridging vessels or preretinal neovascularization I Neovascular glaucoma a Vitreoretinal traction with secondary macular dragging econdary optic atop
Complications ◼ Retinal detachment: 5-22% ◼ Vitrous hemorrhage :4-40% caused by disrupted bridging vessels or preretinal neovascularization. ◼ Neovascular glaucoma ◼ Vitreoretinal traction with secondary macular dragging ◼ Secondary optic atrophy
DDias gi nostic testin g a Optical Coherence Tomography(oct) advantage: can provide high resolution cross sectional images of the macular region, can distinguish retinoschisis from retina detachment Y disadvantage: views of the periphery may sometimes be limited, and it will be limited by reflectivity from dense hemorrhage
Diagnostic testing ◼ Optical Coherence Tomography( OCT ) ✓ advantage: can provide high resolution crosssectional images of the macular region , can distinguish retinoschisis from retina detachment ✓ disadvantage: views of the periphery may sometimes be limited, and it will be limited by reflectivity from dense hemorrhage