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Peripheral retinoschisis and exudative retinal detachment in pars planitis
Aryeh L Pollack1, H Richard McDonald, Robert N Johnson
1California Pacific Medical Center, San Francisco, CA, USA.
Retina (Philadelphia, Pa.)
|December 12, 2002
Summary
Pars planitis can cause bullous retinoschisis and exudative retinal detachment, mimicking Coats disease. Treatment targeting vascular leakage often resolves these retinal conditions.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Inflammatory Eye Conditions
Background:
- Pars planitis is a form of intermediate uveitis.
- It can lead to peripheral retinal abnormalities.
Observation:
- This study reviewed 13 eyes of 9 patients with pars planitis presenting with retinoschisis and/or exudative retinal detachment.
- These peripheral retinal elevations were often stable but could worsen with telangiectatic vessels or tumors.
Findings:
- A Coats disease-like vascular response, including telangiectatic vessels and vasoproliferative tumors, was implicated.
- Treatment with cryotherapy or plaque radiotherapy led to regression of vascular abnormalities and resolution of retinal detachment in 4 of 5 eyes.
- One patient experienced spontaneous resolution of retinoschisis over 4 years.
Implications:
- Pars planitis can manifest with bullous retinoschisis and exudative retinal detachment.
- These findings suggest a secondary vascular response to chronic inflammation.
- Treatment addressing vascular leakage may effectively manage these complications.