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KMID : 0213520090230020118
Korean Journal of Ophthalmology
2009 Volume.23 No. 2 p.118 ~ p.120
Infantile Vitreous Hemorrhage as the Initial Presentation of X-linked Juvenile Retinoschisis
Lee Jong-Joo

Kim Jeong-Hun
Kim So-Yeon
Park Sung-Sup
Yu Young-Suk
Abstract
The authors report two cases of X-linked juvenile retinoschisis (XLRS) manifested as bilateral vitreous hemorrhage as early as in an 1-month-old infant and in a 3-month-old infant. The one-month-old male infant showed massive bilateral vitreous hemorrhage. During vitrectomy, thin membrane representing an inner part of schisis cavity was excised and intraschisis hemorrhage was evacuated. As intraschisis cavities were cleared, the stump of inner layer appeared as the demarcation line between the outer layer of the schisis retina and non-schisis retina. The other three-month-old male infant presenting with esodeviation also showed bilateral vitreous hemorrhage. Typical bilateral retinoschisis involving maculae could be seen through vitreous hemorrhage in both eyes on fundus examination. Spontaneous absorption of hemorrhage was observed on regular follow-up. XLRS could be manifested as massive hemorrhage inside or outside of the schisis cavity early in infancy.
KEYWORD
Infant, Vitreous hemorrhage, X-linked juvenile retinoschisis
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