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Clinical Study of Senile Retinoschisis

Clinical Study of Senile Retinoschisis Abstract Retinoschisis was discovered in 102 eyes of 56 patients, revealing an incidence of 3.7% for the total group and 7% for the group 40 years of age and older. It was bilateral in 82%, and the area of maximal involvement was the inferior temporal quadrant in 72%. It extended posterior to the equator in 43% of the patients. Retinoschisis was significantly associated with hyperopia, as compared to the total population studied. Retinal breaks were found in 8% of the group, but they were found in both layers in only one patient. Because the number of patients in which retinoschisis leads to retinal detachment is extremely low, and because posterior extension is very slow and probably rarely extends to the macula, treatment should be used only very infrequently. References 1. Bartels, M.: Über die Entstehung von Nethautablösungen , Klin Mbl Augenheilk 91:437-450, 1933. 2. Leffertstra, L.J.: Over Orascheuren, thesis, University of Utrecht, The Netherlands, 1948, pp 129-133 (cases 43, 70, 74, 88, 117, 160 and 199). 3. Hruby, K.: Spaltlampen Mikroscopie , Vienna: Urban and Schwarzenberg, 1950, pp 122-132. 4. Hruby, K.: Über cystische Veränderungen im Augenhintergrund , Graefe Arch Ophthal 158:87-105, 1956.Crossref 5. Shea, M.; Schepens, C.L.; and von Pirquet, S. R.: Retinoschisis: I. Senile Type: A Clinical Report of 107 Cases , Arch Ophthal 63:1-9 ( (Jan) ) 1960.Crossref 6. Teng, C.C., and Katzin, H.M.: An Anatomic Study of the Peripheral Retina; Peripheral Cystoid Degeneration of the Retina; Formation of Cysts and Holes , Amer Ophthal 36:29-39, 1953. 7. Francois, J., and Rabaey, M.: Histopathological Examination of a Bilateral Symmetrical Cyst of the Retina , Brit J Ophthal 37:601-608, 1953.Crossref 8. Zimmerman, L.E., and Spencer, W.H.: The Pathologic Anatomy of Retinoschisis , Arch Ophthal 63:10-19 ( (Jan) ) 1960.Crossref 9. Curtin, V.T.; Norton, E.W.D.; and Smith, T.R.: Pathological Confirmation of Retinoschisis , Arch Ophthal 63:978-983 ( (June) ) 1960.Crossref 10. Ridley, H.: Cystic Retinal Detachments , Brit J Ophthal 20:65-68, 1936.Crossref 11. Stallard, H.B.: Bilateral Symmetrical Cystic Detachment of Retina , Brit J Ophthal 30:547-548, 1946.Crossref 12. Balian, J.V., and Falls, H.F.: Congenital Vascular Veils in the Vitreous: Hereditary Retinoschisis , Arch Ophthal 63:92-101, 1960.Crossref 13. Gieser, E.P., and Falls, H.F.: Hereditary Retinoschisis , Amer J Ophthal 51:1193-1200, 1961. 14. Pischel, D.K.: Surgical Treatment of Retinal Cysts (the Francis I. Proctor Lecture) , Amer J Ophthal 56:1-16 ( (July) ) 1963. 15. Cibis, P.A.: Doppelseitige Netzhautablösung bei einem eineiigen Zwillingspaar , Ber Deutsch Ophth Ges 53:251-256, 1940. 16. Sorsby, A., et al: Unusual Retinal Detachment Possibly Sex-Linked , Brit J Ophthal 35:1-10, 1951.Crossref 17. Levy, J.: Inherited Retinal Detachment , Brit J Ophthal 36:626-636, 1952.Crossref 18. Kleinert, H.: Eine recessiv-geschlechts gebundene Form der idiopathischen Netzhautspaltung bei nichtmyopen Jugendlichen , Arch Ophthal 154:295-305, 1953. 19. Cibis, P.A.: Vitreoretinal Pathology and Surgery in Retinal Detachment , St. Louis: The C. V. Mosby Co., 1965, pp 87-97, 103-105. 20. Heinzen, H.: Die prophylaktische Behandlung der Netzhautablösung , Stuttgart, Germany: Enke, 1960, p 205 21. Schepens, C.L.: Symposium: Retinal Detachment; Diagnostic and Prognostic Factors as Found in Preoperative Examination , Trans Amer Acad Ophthal 56:398-418 ( (May-June) ) 1952 22. Vogt, A.: Die operative Therapie und die Pathogenese der Netzhautablösung , Stuttgart, Germany: Enke, 1936, p 237 23. Grignolo, A.; Schepens, C.L.; and Heath, P.: Cysts of the Pars Plana , Arch Ophthal 58:530-543 ( (Oct) ) 1957.Crossref 24. Zimmerman, L.E., and Fine, B.S.: Production of Hyaluronic Acid by Cysts and Tumors of the Ciliary Body , Arch Ophthal 72:365-379 ( (Sept) ) 1965.Crossref 25. O'Malley, P.; Allen, R.; and Straatsma, B.R.: Paving-Stone Degeneration of the Retina , Arch Ophthal 73:169-182 ( (Feb) ) 1965.Crossref 26. Ferry, A.P.: Lesions Mistaken for Malignant Melanoma of the Posterior Uvea , Arch Ophthal 72:463-469 ( (Oct) ) 1964.Crossref 27. Okun, E., and Cibis, P.A.: The Role of Photocoagulation in the Management of Retinoschisis , Arch Ophthal 72:309-314 ( (Sept) ) 1964.Crossref 28. Weve, cited by Leffertstra.2 29. Kornzweig, A.L.: Bilateral Symmetric Cystoid Detachment of the Retina , Arch Ophthal 23:491-500 ( (March) ) 1940.Crossref 30. Zuccoli, M.A.: Kystes idiopathiques de la retine , Bull Soc Franc Ophthal 69:103-114 ( (May) ) 1956. 31. Sullivan, G.L., and von Pirquet, S.R.: Retinoschisis: Perimetry as a Clue to Diagnosis , Trans Amer Ophthal Soc 59:80-95, 1961. 32. Byer, N.E.: Clinical Study of Lattice Degeneration of the Retina , Trans Amer Acad Ophthal 69:1064-1077 ( (Nov-Dec) ) 1965. 33. Weve, H.: Beziehung zu den grossen isolierten Netzhautzysten und Netzhautablösung , Graefe Arch Ophthal 109:49-78, 1936. 34. Duke-Elder, S.: The Relation Between Peripheral Retinal Cysts and Dialysis , Brit J Ophthal 23:388-389, 1949.Crossref 35. Shapland, C.D.: Rupture of Retinal Cyst Causing Retinal Detachment , Amer J Ophthal 28:324-325 ( (Feb) ) 1945. 36. Veil, P., and Guillaumat, L.: Les kystes rétiniens , Arch Ophthal 2:977-990, 1938. 37. Böhringer, H.R.: Statistisches zu Häufigkeit und Risiko der Netzhautablösung , Ophthalmologica 131:331-334 ( (April-May) ) 1956.Crossref 38. Okun, E.: Pathology in Autopsy Eyes , Amer J Ophthal 51:369-391 ( (March) ) 1961. 39. Guerry, D., and Bullinton, W.: Treatment of Retinoschisis by Light Coagulation , Southern Med J 58:862-867 ( (July) ) 1965.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Clinical Study of Senile Retinoschisis

Archives of Ophthalmology , Volume 79 (1) – Jan 1, 1968

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References (41)

Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1968.03850040038012
Publisher site
See Article on Publisher Site

Abstract

Abstract Retinoschisis was discovered in 102 eyes of 56 patients, revealing an incidence of 3.7% for the total group and 7% for the group 40 years of age and older. It was bilateral in 82%, and the area of maximal involvement was the inferior temporal quadrant in 72%. It extended posterior to the equator in 43% of the patients. Retinoschisis was significantly associated with hyperopia, as compared to the total population studied. Retinal breaks were found in 8% of the group, but they were found in both layers in only one patient. Because the number of patients in which retinoschisis leads to retinal detachment is extremely low, and because posterior extension is very slow and probably rarely extends to the macula, treatment should be used only very infrequently. References 1. Bartels, M.: Über die Entstehung von Nethautablösungen , Klin Mbl Augenheilk 91:437-450, 1933. 2. Leffertstra, L.J.: Over Orascheuren, thesis, University of Utrecht, The Netherlands, 1948, pp 129-133 (cases 43, 70, 74, 88, 117, 160 and 199). 3. Hruby, K.: Spaltlampen Mikroscopie , Vienna: Urban and Schwarzenberg, 1950, pp 122-132. 4. Hruby, K.: Über cystische Veränderungen im Augenhintergrund , Graefe Arch Ophthal 158:87-105, 1956.Crossref 5. Shea, M.; Schepens, C.L.; and von Pirquet, S. R.: Retinoschisis: I. Senile Type: A Clinical Report of 107 Cases , Arch Ophthal 63:1-9 ( (Jan) ) 1960.Crossref 6. Teng, C.C., and Katzin, H.M.: An Anatomic Study of the Peripheral Retina; Peripheral Cystoid Degeneration of the Retina; Formation of Cysts and Holes , Amer Ophthal 36:29-39, 1953. 7. Francois, J., and Rabaey, M.: Histopathological Examination of a Bilateral Symmetrical Cyst of the Retina , Brit J Ophthal 37:601-608, 1953.Crossref 8. Zimmerman, L.E., and Spencer, W.H.: The Pathologic Anatomy of Retinoschisis , Arch Ophthal 63:10-19 ( (Jan) ) 1960.Crossref 9. Curtin, V.T.; Norton, E.W.D.; and Smith, T.R.: Pathological Confirmation of Retinoschisis , Arch Ophthal 63:978-983 ( (June) ) 1960.Crossref 10. Ridley, H.: Cystic Retinal Detachments , Brit J Ophthal 20:65-68, 1936.Crossref 11. Stallard, H.B.: Bilateral Symmetrical Cystic Detachment of Retina , Brit J Ophthal 30:547-548, 1946.Crossref 12. Balian, J.V., and Falls, H.F.: Congenital Vascular Veils in the Vitreous: Hereditary Retinoschisis , Arch Ophthal 63:92-101, 1960.Crossref 13. Gieser, E.P., and Falls, H.F.: Hereditary Retinoschisis , Amer J Ophthal 51:1193-1200, 1961. 14. Pischel, D.K.: Surgical Treatment of Retinal Cysts (the Francis I. Proctor Lecture) , Amer J Ophthal 56:1-16 ( (July) ) 1963. 15. Cibis, P.A.: Doppelseitige Netzhautablösung bei einem eineiigen Zwillingspaar , Ber Deutsch Ophth Ges 53:251-256, 1940. 16. Sorsby, A., et al: Unusual Retinal Detachment Possibly Sex-Linked , Brit J Ophthal 35:1-10, 1951.Crossref 17. Levy, J.: Inherited Retinal Detachment , Brit J Ophthal 36:626-636, 1952.Crossref 18. Kleinert, H.: Eine recessiv-geschlechts gebundene Form der idiopathischen Netzhautspaltung bei nichtmyopen Jugendlichen , Arch Ophthal 154:295-305, 1953. 19. Cibis, P.A.: Vitreoretinal Pathology and Surgery in Retinal Detachment , St. Louis: The C. V. Mosby Co., 1965, pp 87-97, 103-105. 20. Heinzen, H.: Die prophylaktische Behandlung der Netzhautablösung , Stuttgart, Germany: Enke, 1960, p 205 21. Schepens, C.L.: Symposium: Retinal Detachment; Diagnostic and Prognostic Factors as Found in Preoperative Examination , Trans Amer Acad Ophthal 56:398-418 ( (May-June) ) 1952 22. Vogt, A.: Die operative Therapie und die Pathogenese der Netzhautablösung , Stuttgart, Germany: Enke, 1936, p 237 23. Grignolo, A.; Schepens, C.L.; and Heath, P.: Cysts of the Pars Plana , Arch Ophthal 58:530-543 ( (Oct) ) 1957.Crossref 24. Zimmerman, L.E., and Fine, B.S.: Production of Hyaluronic Acid by Cysts and Tumors of the Ciliary Body , Arch Ophthal 72:365-379 ( (Sept) ) 1965.Crossref 25. O'Malley, P.; Allen, R.; and Straatsma, B.R.: Paving-Stone Degeneration of the Retina , Arch Ophthal 73:169-182 ( (Feb) ) 1965.Crossref 26. Ferry, A.P.: Lesions Mistaken for Malignant Melanoma of the Posterior Uvea , Arch Ophthal 72:463-469 ( (Oct) ) 1964.Crossref 27. Okun, E., and Cibis, P.A.: The Role of Photocoagulation in the Management of Retinoschisis , Arch Ophthal 72:309-314 ( (Sept) ) 1964.Crossref 28. Weve, cited by Leffertstra.2 29. Kornzweig, A.L.: Bilateral Symmetric Cystoid Detachment of the Retina , Arch Ophthal 23:491-500 ( (March) ) 1940.Crossref 30. Zuccoli, M.A.: Kystes idiopathiques de la retine , Bull Soc Franc Ophthal 69:103-114 ( (May) ) 1956. 31. Sullivan, G.L., and von Pirquet, S.R.: Retinoschisis: Perimetry as a Clue to Diagnosis , Trans Amer Ophthal Soc 59:80-95, 1961. 32. Byer, N.E.: Clinical Study of Lattice Degeneration of the Retina , Trans Amer Acad Ophthal 69:1064-1077 ( (Nov-Dec) ) 1965. 33. Weve, H.: Beziehung zu den grossen isolierten Netzhautzysten und Netzhautablösung , Graefe Arch Ophthal 109:49-78, 1936. 34. Duke-Elder, S.: The Relation Between Peripheral Retinal Cysts and Dialysis , Brit J Ophthal 23:388-389, 1949.Crossref 35. Shapland, C.D.: Rupture of Retinal Cyst Causing Retinal Detachment , Amer J Ophthal 28:324-325 ( (Feb) ) 1945. 36. Veil, P., and Guillaumat, L.: Les kystes rétiniens , Arch Ophthal 2:977-990, 1938. 37. Böhringer, H.R.: Statistisches zu Häufigkeit und Risiko der Netzhautablösung , Ophthalmologica 131:331-334 ( (April-May) ) 1956.Crossref 38. Okun, E.: Pathology in Autopsy Eyes , Amer J Ophthal 51:369-391 ( (March) ) 1961. 39. Guerry, D., and Bullinton, W.: Treatment of Retinoschisis by Light Coagulation , Southern Med J 58:862-867 ( (July) ) 1965.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jan 1, 1968

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