A clinical case of intraretinal hematoma in bullous retinoschisis
https://doi.org/10.58708/2074-2088.2025-3(35)-49-54
Abstract
This clinical case describes a rare complication of retinoschisis – hemorrhage into the bullous cavity – that developed 8 years after the initial diagnosis of degenerative retinoschisis. The patient presented one month after the appearance of «spots» before her eye. Specialists diagnosed hemorrhage into the bullous cavity (in the superior retina). Visual acuity remained high (OU=1.0), and intraocular pressure was within normal limits (Po 11/12 mmHg). Subsequently, a peripapillary retrohyaloid hemorrhage developed, with blood flowing into the inferior retina and forming an intraretinal hematoma. When the patient refused surgical treatment, hemophthalmos developed over time (after 1 month), and after 1.5 months, a proliferative process developed, resulting in vitreomacular tractions.
About the Authors
T. Bobr
ГУ «РНПЦ радиационной медицины и экологии человека»
Belarus
Belarus
O. Predko
ГУ «РНПЦ радиационной медицины и экологии человека»
Belarus
Belarus
I. Butko
Клиника «НОВОМЕД»
Belarus
Belarus
References
1. Луковская, Н.Г. Ретиношизис. Этиопатогенез диагностика клиника лечение / Н.Г. Луковская, Ю.С. Астахов. – Спб. : ИПК «Бионт», 2008. – 112 с.
2. Ku, C.A. X-Linked Retinoschisis. / C.A. Ku, L.W. Wei, P.A. Sieving // Cold Spring Harbor perspectives in medicine. – 2023. – Vol. 13, №9. – a041288. doi: 10.1101/cshperspect.a041288
3. Наш опыт хирургического лечения периферического ретиношизиса без захвата макулярной зоны методом эписклерального пломбирования / Д.О. Шкворченко, К.С. Норман, Е.С. Хрисанфова [и др.] // Российский офтальмологический журнал. – 2023. – Т. 16, № 3. – С. 100-103. https://doi.org/10.21516/2072-0076-2023-16-3-100-103
4. Buch, H. Prevalence and long-term natural course of retinoschisis among elderly individuals: the Copenhagen City Eye Study / H. Buch, T. Vinding, N.V. Nielsen // Ophthalmology. – 2007. – Vol. 114, №4. – P. 751-755.
5. Byer, N.E. Long-term natural history study of senile retinoschisis with implications for management / N.E. Byer. // Ophthalmology. – 1986. – Vol. 93, №9. – P. 1127-1137.
6. Луковская, Н.Г. Сенильный ретиношизис / Н.Г. Луковская, Ю.С. Астахов // РМЖ. Клиническая офтальмология. – 2001. – № 4. – С.159.
Review
For citations:
Bobr T., Predko O., Butko I. A clinical case of intraretinal hematoma in bullous retinoschisis. Medical and Biological Problems of Life Activity. 2025;(3):49-54. (In Russ.) https://doi.org/10.58708/2074-2088.2025-3(35)-49-54
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