Chatziralli Irini, Theodossiadis George, Brouzas Dimitrios, Emfietzoglou Ioannis, Theodossiadis Panagiotis
2nd Department of Ophthalmology, University of Athens, Attikon Hospital, Athens, Greece.
2nd Department of Ophthalmology, Henry Dunant Hospital, Athens, Greece.
Case Rep Ophthalmol. 2017 Sep 14;8(3):459-464. doi: 10.1159/000480069. eCollection 2017 Sep-Dec.
We present the evolution of X-linked juvenile retinoschisis (XLRS) in a male patient using optical coherence tomography (OCT) with a long-term follow-up time of 15 years.
A 10-year-old male patient presented at the Medical Retina Department of our hospital complaining for blurred vision in both eyes. At the initial presentation in 2001, his best corrected visual acuity (BCVA) was 6/12 in both eyes on the Snellen chart. Based on clinical and OCT findings, the diagnosis of XLRS was made, and it was confirmed by genetic testing. No treatment was performed, but the patient was regularly examined. His BCVA and OCT findings remained relatively stable from 2001 to 2012, when BCVA decreased to 6/18 and 6/24 in the right and left eye, respectively. In 2016, his BCVA was 6/24 and 6/36 in right and left eye, respectively, while OCT depicted significant macular thinning, accompanied by irregularities of the foveal contour in both eyes.
Patients with XLRS should be monitored regularly to evaluate the progression of the disease and manage the potential complications.
我们通过光学相干断层扫描（OCT）展示了一名男性患者15年长期随访中X连锁青少年视网膜劈裂症（XLRS）的病情演变。
一名10岁男性患者因双眼视力模糊就诊于我院视网膜内科。2001年初次就诊时，他在斯内伦视力表上的最佳矫正视力（BCVA）双眼均为6/12。根据临床和OCT检查结果，诊断为XLRS，并通过基因检测得以证实。未进行治疗，但对该患者进行了定期检查。从2001年到2012年，他的BCVA和OCT检查结果相对稳定，当时右眼和左眼的BCVA分别降至6/18和6/24。2016年，他右眼和左眼的BCVA分别为6/24和6/36，而OCT显示黄斑明显变薄，同时双眼黄斑中心凹轮廓不规则。
XLRS患者应定期进行监测，以评估疾病进展并处理潜在并发症。
