A Case of Acquired Peripheral Retinoschisis with Retinal Detachment in Young Adult.

Background: Acquired peripheral retinoschisis (RS) is usually found in middle age and older patients, and is occasionally accompanies by retinal detachment (RD). In this report, a case of acquired RS with RD in a young adult is documented. Case: A 27 years old man diagnosed with RD in the right eye at a periodical examination. Findings: RD was located at upper nasal part of fundus with the margin close to the macula. Dome shaped retinal protrusion was also seen at the periphery of nasal upper retina. Optical coherence tomography revealed no macular abnormality. Following a diagnosis of RD with atrophic retinal hole, scleral buckling and SF6 gas injection were performed, but the RD was not fully resolved. Additional B mode ultrasonography visualized peripheral RS at the dome shaped retinal protrusion. To avoid macular detachment, pars plana vitrectomy was performed. After executing a posterior vitreous detachment and subretinal fluid extraction, photocoagulation was performed around the area of the RS. Consequently, both the RD and RS were completely resolved. Conclusions: Acquired RS with RD may occur in young adults. This can be successfully resolved by surgery.