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[Photocoagulation in sex-linked heredofamilial retinoschisis]
P Castier1, P Turut, P Francois
1Clinique Ophtalmologique, Centre Hospitalier Régional, Lille.
Bulletin Des Societes D'Ophtalmologie De France
|February 1, 1990
Summary
Preventive photocoagulation for bullous retinoschisis is not recommended. This treatment may lead to complications and spontaneous regression often occurs with age, making it an inadvisable approach.
Area of Science:
- Ophthalmology
- Retinal Diseases
Context:
- Bullous peripheral retinoschisis affects multiple patients across families.
- Retinal detachment is a potential complication of retinoschisis.
Purpose:
- To evaluate the efficacy of photocoagulation in preventing the progression of bullous retinoschisis and subsequent retinal detachment.
- To determine if prophylactic photocoagulation is a suitable treatment for bullous retinoschisis.
Summary:
- Photocoagulation was applied to 28 eyes to stabilize bullous retinoschisis, but 3 eyes developed severe retinal detachment post-treatment.
- Analysis of treated and untreated eyes, alongside literature review, suggests photocoagulation is not advised due to spontaneous regression and complication risks.
- The study discusses prophylactic treatment for retinal detachment via encircling the posterior pole with photocoagulations.
Impact:
- Findings suggest a re-evaluation of current prophylactic treatment strategies for bullous retinoschisis.
- Highlights the potential risks associated with photocoagulation in managing retinoschisis.
- Informs clinical decision-making regarding the management of bullous retinoschisis and prevention of retinal detachment.