This rare case uploaded by Mr Armin Moradi . Case content generously contributed by Dr. Panos Christakis at University Health Network, Toronto, ON. .
57yo male presents with progressively decreasing visual acuity over many year (since he was a teenager). VA 20/200. No late leakage was noted on FA. B-wave loss on scotopic, non-attenuated flash. Family history demonstrated a brother with ?similar issues with sight who is on an unknown eye drop.
The differential diagnosis is as follows:
The following investigation results are available:
No further investigations were done for this case
The accepted diagnosis is Juvenile X-linked Retinoschisis.
The management of this condition is as follows:
OCT is pathomneumonic for XLRS. Note that fundus and retina exam were normal. Family history is also important in diagnosis in this case.
OMIM #312700 http://eyewiki.aao.org/X-linked_Retinoschisis Ophthalmology by Yanoff and Duker 4th ed, pages 509-511