Chu Eric Chun-Pu, Pong Jeffrey Chiu-Fai
New York Chiropractic & Physiotherapy Center, New York Medical Group, Hong Kong, China.
Ophthalmology Department, Hong Kong Adventist Hospital, Hong Kong, China.
AME Case Rep. 2019 Feb 13;3:3. doi: 10.21037/acr.2019.01.04. eCollection 2019.
Spontaneous resolution of myopic retinoschisis is an unusual event due to the fact that most eyes of patients with this condition have already undergone certain morphological changes and vision will progressively worsen over time. We present a case of spontaneous anatomic and visual improvement in a myopic eye with a macular retinoschisis. The patient was monocular oculus dextrus (OD) with a history of left eye enucleation for recurrent retinal detachment and glaucoma for 30 years prior. Recent optical coherence tomography (OCT) depicted features characteristic of myopic retinoschisis. At the same time, the patient sough chiropractic treatment for neck pain and numbness in upper limbs. The patient had received 12 sessions of cervical adjustment which helped attain symptomatic relief of her neck and upper limb complaints at which time the patient also reported substantial recovery in her vision. Restoration of the normal retinal morphological appearance was illustrated upon re-evaluation of OCT. Spontaneous resolution of myopic retinoschisis may be a multifactorial cause. Further studies elucidating the exact mechanism resulting in visual improvement after chiropractic adjustment are needed before any claims regarding its efficacy for the treatment of myopic retinoschisis can be made.
近视性视网膜劈裂的自发消退是一种不常见的情况,因为患有这种疾病的大多数患者的眼睛已经经历了一定的形态学变化,并且视力会随着时间的推移而逐渐恶化。我们报告一例患有黄斑视网膜劈裂的近视眼中出现自发的解剖结构和视力改善的病例。该患者为右眼单眼(OD),30年前因复发性视网膜脱离和青光眼而摘除了左眼。最近的光学相干断层扫描(OCT)显示出近视性视网膜劈裂的特征性表现。同时,该患者因颈部疼痛和上肢麻木寻求整脊治疗。患者接受了12次颈椎调整,这有助于缓解她颈部和上肢的症状,此时患者还报告视力有了显著恢复。再次评估OCT时显示视网膜形态恢复正常。近视性视网膜劈裂的自发消退可能是多因素导致的。在能够就整脊调整治疗近视性视网膜劈裂的疗效提出任何主张之前,需要进一步研究阐明整脊调整后导致视力改善的确切机制。