Senile Retinoschisis (RS) Treatment & Management

Updated: Sep 07, 2018
  • Author: Brian A Phillpotts, MD, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Treatment

Surgical Care

Surgery does not reestablish neuronal integrity of the split retina; therefore, it does not improve visual loss secondary to senile retinoschisis. Rarely, spontaneous resolution has been reported.

Surgery is undertaken to prevent retinal detachment, when inner and outer retinal holes are found without retinal detachment.

Surgery is performed if retinoschisis is associated with a retinal detachment.

For senile retinoschisis extending into the posterior pole, the following 2 procedures can be performed:

  • Demarcation of the advancing retinoschisis edge with photocoagulation and/or cryotherapy
  • Application of photocoagulation and/or cryotherapy to the entire outer layer with or without subretinal fluid (SRF) drainage to collapse the inner layer of the retinoschisis
Next:

Consultations

Vitreoretinal specialist

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Long-Term Monitoring

Patients should have annual follow-up examinations for retinoschisis that is relatively flat, without breaks, and anterior to the equator.

Patients should receive follow-up care every 3-6 months for retinoschisis with breaks or with extension posterior to the equator; if patients remain stable, annual visits thereafter are indicated.

More frequent follow-up care is required in patients with symptoms of photopsia and floaters.

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