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Ophthalmologe. 2005 Dec;102(12):1193-9.

[Importance of family examination in juvenile X-linked retinoschisis].

[Article in German]

Author information

1
Augenklinik, Universität, Poznań, Polen. aklososwska@wp.pl

Abstract

BACKGROUND:

Congenital (juvenile) retinoschisis belongs to the group of hereditary vitreoretinopathies. This disorder is inherited in an X-linked recessive pattern and its onset usually occurs in 5- to 10-year-old boys. Presenting clinical signs include decreased visual acuity due to maculopathy.

CASE REPORT:

The authors present a case of a 17-year-old boy with decreased visual acuity, hypermetropia, and bilateral retinoschisis with maculopathy upon fundus examination. In view of a 50% risk of the disorder occurring in the brothers of the affected male, they underwent full ophthalmological and electrophysiological examinations (until then asymptomatic). In one of them decreased visual acuity, mixed astigmatism, and maculopathy were present, without any changes of the peripheral retina. In the youngest brother decreased visual acuity, hypermetropia, and maculopathy were diagnosed.

CONCLUSIONS:

Genetic counseling and ophthalmological examination of family members at risk facilitated early recognition of the pathological changes in the siblings. Genetic counseling with pedigree analysis and genetic analysis, if possible, should be offered to all affected patients and family members.

PMID:
15349747
DOI:
10.1007/s00347-004-1105-2
[Indexed for MEDLINE]

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