Maurice F. Rabb » Retinoschisis Secondary To Pars Planitis

This 23 year old male was thoroughly worked up by the uveitis group at U.C.S.F. and had the diagnosis of pars planitis established in 1971. Both eyes were essentially the same with visual acuity of 20/50, intraocular pressure of 14 mm Hg, normal cornea and anterior chamber, 2+ posterior subcapsular cataract, 2+ fine white cells in the vitreous, minimal macular edema, typical white snowbank lesions near the inferior ora and the prominent inferior bullous retinoschisis. Neither eye had the outer wall change of "beaten metal" appearance. Because the schisis was approaching the fovea it was decided to treat the more advanced eye with photocoagulation/cryotherapy. This schisis had advanced to a point within 8 degrees of the point of fixation as determined by perimetry. The patient was treated and the schisis became flat and has remained so with good scar formation for several months.