000			01995 am a22002293u 4500
042			_adc
100	1	0	_aDesjarlais, Eric B. _eauthor _9506
700	1	0	_aGarza, Philip S. _eauthor _9507
700	1	0	_aJohnson, Mark W. _eauthor _9508
700	1	0	_aJayasundera, Thiran _eauthor _9509
245	0	0	_aSuccessful surgical treatment of macula-involving degenerative retinoschisis by vitrectomy and drainage of the schisis cavity
260			_c2022-01-01.
500			_a/pmc/articles/PMC7035175/
500			_a/pubmed/31453931
520			_aPURPOSE: To demonstrate the potential for visual recovery following surgery for early foveal involvement by progressive degenerative retinoschisis. METHOD: Surgical case report. RESULTS: A 79-year-old woman was monitored over 4 years for degenerative retinoschisis in the inferotemporal periphery of both eyes. Over the course of follow-up, visual acuity in the left eye decreased from 20/40 to 20/100, concurrent with extension of the schisis cavity into the macula. Macular involvement was confirmed on OCT imaging and there was no rhegmatogenous retinal detachment. The patient elected to undergo 25-gauge pars plana vitrectomy and drainage of the schisis cavity. Eleven weeks after surgery, the macula remained attached, and the uncorrected visual acuity was 20/30. Fundus examination and SD-OCT confirmed ongoing resolution of the macula-involving retinoschisis. CONCLUSION: Bullous degenerative retinoschisis is thought to result in an absolute scotoma that is not surgically correctable. Our patient's excellent visual recovery suggests that the synaptic integrity of the macular outer plexiform layer can be preserved and a permanent scotoma avoided if early macular involvement by progressive degenerative retinoschisis is surgically repaired.
540			_a
546			_aen
690			_aArticle
655	7		_aText _2local
786	0		_nRetin Cases Brief Rep
856	4	1	_uhttp://dx.doi.org/10.1097/ICB.0000000000000920 _zConnect to this object online.
999			_c641 _d641