Abstract

Retinoschisis means splitting of the retina into two layers .HAEMORRHAGC RETINOSCHISIS IS A CONDITION MOSTLY FOUND IN ASSOCIATION WITH APLASTIC ANEAMIA
METHODS: THIS IS A CASE OF 32 YEAR OLD FEMALE WITH DECREASED VISION IN LEFT EYE SINCE 1 YR .ON EXAMINATION ANTERIOR SEGMENT APPEARED NORMAL .FUNDUS EXAMINATION SHOWED DOME SHAPED ELEVATIONS WITH VITREOUS HAEMORRHAGE WITH MACULA OFF RD .
ON B SCAN EXAMINATION THERE WAS RETINAL DETACHMENT WITH SPLITTING OF THE TWO LAYERS OF THE RETINA WITH HYPERECHOIC DOT ECHOES WITHIN THE CAVITY S/O HAEMORRHAGIC RETINOSCHISIS
PATIENT UNDERWENT PARS PLANA VITRECTOMY WITH SILICON OIL INJECTION TO SETTLE THE RETINAL DETACHMENT AND INTERNAL DRAINAGE TO DRAIN THE SCHISIS CAVITY .
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CONCLUSION : HAEMORRHAGIC RETINOSCHISIS ASSOCIATED RD IS A DEMANDING SITUATION TO TREAT AND REMAINS A CHALLANGE FOR VITREORETINAL SURGEONS .
PPV SHOULD BE CONSIDERED FOR TREATING SYMPTOMATIC , EXTENSIVE RDs ESPECIALLY IN CASES WITH LARGE OR POSTERIOR OUTER LAYER BREAKS