Surgical Management of Tractional Retinoschisis Associated with Vitreous Hemorrhage in Retinopathy of Prematurit

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PURPOSE: The tractional retinoschisis is a poorly understood, rare, and likely underappreciated entity in retinopathy of prematurity. The purpose of this article is to describe clinical findings and surgical management of tractional retinoschisis in retinopathy of prematurity, masquerading as Stage 4 retinopathy of prematurity retinal detachment.

METHODS: A retrospective review of a single case with literature review and case discussion.

RESULTS: In this report, we describe a child with retinopathy of prematurity and tractional schisis, who initially presented with vitreous hemorrhage and was effectively managed by vitrectomy and inner wall retinectomy. At 5 months after vitrectomy, the child demonstrated complete collapse of the retinoschisis with intact posterior pole and brisk light perception.

CONCLUSION: Vitrectomy with or without inner wall retinectomy is effective in the management of tractional retinoschisis.