Case report: pneumatic retinopexy for the treatment of progressive retinal detachment in senile retinoschisis

Retinoschisis is an abnormal separation of the retinal layers and is asymptomatic in most cases. Enlargement of the area of retinoschisis and retinal tear and detachment are possible complications of the disease, and the treatment of retinoschisis is controversial. In this case report, we present a case of retinal detachment associated with senile retinoschisis in which pneumatic retinopexy was chosen as the treatment of choice and was performed successfully in one of the eyes. After a literature review on retinoschisis and pneumatic retinopexy for the treatment of associated retinal detachment, we found only one case that was successfully treated without drainage of subretinal fluid, using air as the filler. However, no previous reports have been found in the literature on the effectiveness of pneumatic retinopexy using C3F8 as the sole treatment for progressive retinal detachment in senile retinoschisis.

视网膜劈裂症（retinoschisis）是指视网膜各层发生异常分离的病变，多数病例无明显临床症状。视网膜劈裂症病灶范围扩大、视网膜裂孔形成及脱离均为该病可能出现的并发症，而视网膜劈裂症的治疗方案目前仍存在争议。本病例报告报道1例老年性视网膜劈裂症合并视网膜脱离的病例，患者其中一眼选择气体视网膜固定术（pneumatic retinopexy）作为首选治疗方案并顺利完成手术。经检索相关文献，针对合并视网膜脱离的视网膜劈裂症行气体视网膜固定术治疗的报道中，仅见1例以空气作为填充剂、无需切开引流视网膜下液即可成功完成治疗的病例。但目前尚无文献报道采用全氟丙烷（C3F8）作为唯一填充剂的气体视网膜固定术，用于治疗老年性视网膜劈裂症合并进展性视网膜脱离的临床疗效。